Doctor Name: | SUSAN DEAN HAMRE |
NPI Number: | 1013182724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC/SLP |
License Number: | 538 |
Business Practice Address: | 3731 State Highway 14 Santa Fe, NM - 875088056 |
Business Phone Number: | 5054703422 |
Business Fax Number: | 5052145140 |
Mailing Address: | 3731 State Highway 14, SANTA FE |
State: | NM |
Postal Code: | 875088056 |
Phone Number: | 5054703422 |
Fax Number: | 5052145140 |
NPI Enumeration Date: | 04/23/2008 |
NPI Last Update Date: | 04/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NM |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |