Provider Demographics
NPI:1770751265
Name:HAMM, CECILIA C
Entity type:Individual
Prefix:MS
First Name:CECILIA
Middle Name:C
Last Name:HAMM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6401 S BOSTON ST
Mailing Address - Street 2:W205
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5300
Mailing Address - Country:US
Mailing Address - Phone:720-971-9718
Mailing Address - Fax:
Practice Address - Street 1:6401 S BOSTON ST
Practice Address - Street 2:W205
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5300
Practice Address - Country:US
Practice Address - Phone:720-971-9718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional