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Organization

TELL ME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAIME MICHELE HAMMOND CCC-SLP (OWNER/SLP)
(812) 772-2848
Entity
Organization

Contact information

Practice address
7655 E STATE ROAD 66, CANNELTON, IN 47520-6633
(812) 772-2848
Mailing address
504 MAIN STREET, TELL CITY, IN 47856-1809
(812) 772-2848

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22003522A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201358480A
IN
Enumeration date
09/14/2016
Last updated
09/14/2016
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