Individual
MRS. DEBORAH MICHELLE HAMMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1481 W 10TH ST, SPEECH-LANGUAGE PATHOLOGY, INDIANAPOLIS, IN 46202-2803
(317) 988-2588
(317) 988-2480
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22002576A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001075704
ANTHEM PROVIDER NUMBER
IN
05
—
300000624
—
IN
Enumeration date
11/03/2010
Last updated
12/08/2020
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