Basic Information
| Provider Information | |||||||||
| NPI: | 1437545373 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAMMOND | ||||||||
| FirstName: | JOSEPH | ||||||||
| MiddleName: | KENT | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 INDEPENDENCE PT | ||||||||
| Address2: | SUITE 212 | ||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296154545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8647976044 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 100 AUGUSTA ST | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296013504 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8644552600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/07/2015 | ||||||||
| LastUpdateDate: | 09/24/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103G00000X | 468 | SC | Y | Behavioral Health & Social Service Providers | Clinical Neuropsychologist | 103TA0700X | 468 | SC | N | Behavioral Health & Social Service Providers | Psychologist | Adult Development & Aging | 103TC0700X | 468 | SC | N | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.