| Organization Name: | HAMMOND SPEECH PATHOLOGY LLC |
| NPI Number: | 1407187354 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOANN HAMMOND (SPEECH/LANGUAGE PATHOLOGIST) |
| Mailing Address: | 1820 E 17th St Suite 270 Idaho Falls |
| State: | ID US |
| Postal Code: | 834046469 |
| Phone Number: | 2085522374 |
| Fax Number: | 2085240867 |
| NPI Enumeration Date: | 01/15/2010 |
| NPI Last Update Date: | 09/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP 1346 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| 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 |