Individual
MRS. ANNE T.H. HOMMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC/SP
Contact information
Practice address
138 S. 12TH STREET, PHILOMATH, OR 97370-1492
(541) 929-4568
(541) 929-4513
Mailing address
PO BOX 1492, PHILOMATH, OR 97370-1492
(541) 929-4568
(541) 929-4513
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11472
OR
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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