Doctor Name: | MS. KATHRYN AVILA HAMMOND |
NPI Number: | 1740408400 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC |
License Number: | 0778 |
Business Practice Address: | 3334 Candlewood Dr Lake Havasu City, AZ - 864069070 |
Business Phone Number: | 9288542148 |
Business Fax Number: | 9284530418 |
Mailing Address: | 3334 Candlewood Dr, LAKE HAVASU CITY |
State: | AZ |
Postal Code: | 864069070 |
Phone Number: | 9288542148 |
Fax Number: | 9284530418 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 0778 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |