Doctor Name: | JENNIFER HAMILTON |
NPI Number: | 1215218094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2007028407 |
Business Practice Address: | 1901 E Hamilton St Kirksville, MO - 635013904 |
Business Phone Number: | 6606657774 |
Business Fax Number: | 6606653281 |
Mailing Address: | 1901 E Hamilton St, KIRKSVILLE |
State: | MO |
Postal Code: | 635013904 |
Phone Number: | 6606657774 |
Fax Number: | 6606653281 |
NPI Enumeration Date: | 09/07/2011 |
NPI Last Update Date: | 09/07/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2007028407 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
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 |