Doctor Name: | NICOLE DANIELLE HAMRICK |
NPI Number: | 1063537298 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS,CCC-SLP |
License Number: | 0680 |
Business Practice Address: | 130 Kaufman Dr Fairmont, WV - 265542179 |
Business Phone Number: | 3043634891 |
Business Fax Number: | 3043634891 |
Mailing Address: | Rr 1 Box 446-a, LUMBERPORT |
State: | WV |
Postal Code: | 263869731 |
Phone Number: | 3047834393 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0680 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |