Individual
MRS. SUSAN MAYO HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
481 STEPHENS BRANCH ROAD, MARTIN, KY 41649
(606) 285-0883
Mailing address
1331 ARKANSAS CREEK RD, MARTIN, KY 41649-8007
(606) 285-1293
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
KY-2359
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GN 108
—
KY
Enumeration date
04/12/2007
Last updated
07/09/2007
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