Provider Demographics
NPI:1003079765
Name:HAMILTON, CARRIE S (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:CARRIE
Middle Name:S
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 MARSH OAKS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-6857
Mailing Address - Country:US
Mailing Address - Phone:843-810-3078
Mailing Address - Fax:843-556-1212
Practice Address - Street 1:251 MARSH OAKS DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6857
Practice Address - Country:US
Practice Address - Phone:843-810-3078
Practice Address - Fax:843-556-1212
Is Sole Proprietor?:No
Enumeration Date:2008-07-02
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3275235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist