Provider Demographics
NPI:1083162564
Name:TELL ME
Entity Type:Organization
Organization Name:TELL ME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/SLP
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-SLP
Authorized Official - Phone:812-772-2848
Mailing Address - Street 1:504 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:TELL CITY
Mailing Address - State:IN
Mailing Address - Zip Code:47856-1809
Mailing Address - Country:US
Mailing Address - Phone:812-772-2848
Mailing Address - Fax:
Practice Address - Street 1:7655 E STATE ROAD 66
Practice Address - Street 2:
Practice Address - City:CANNELTON
Practice Address - State:IN
Practice Address - Zip Code:47520-6633
Practice Address - Country:US
Practice Address - Phone:812-772-2848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003522A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201358480AMedicaid
IN201358480AMedicaid