Doctor Name: | MRS. ANNE T.H. HOMMES |
NPI Number: | 1851531511 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC/SP |
License Number: | 11472 |
Business Practice Address: | 138 S. 12th Street Philomath, OR - 973701492 |
Business Phone Number: | 5419294568 |
Business Fax Number: | 5419294513 |
Mailing Address: | Po Box 1492, PHILOMATH |
State: | OR |
Postal Code: | 973701492 |
Phone Number: | 5419294568 |
Fax Number: | 5419294513 |
NPI Enumeration Date: | 02/20/2009 |
NPI Last Update Date: | 02/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 11472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
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 |