Individual
MS. LISA MICHELE HAMMENDORP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
201 W 7TH ST, HATTIESBURG, MS 39401-1935
(601) 408-1003
(601) 582-4258
Mailing address
201 W 7TH ST, HATTIESBURG, MS 39401-1935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0608
MS
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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