Individual
THAYNE HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044
Mailing address
7373 PERKINS RD, BATON ROUGE, LA 70808-4326
(225) 769-4044
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LA2773
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2773
AUDIOLOGIST LICENSE #
LA
Enumeration date
04/14/2008
Last updated
06/11/2010
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