Provider Demographics
NPI:1154649622
Name:HAMEL, NICOLE RENE (CCC/SLP)
Entity Type:Individual
Prefix:
First Name:NICOLE
Middle Name:RENE
Last Name:HAMEL
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 1:15510 KERRVILLE CT
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-6092
Mailing Address - Country:US
Mailing Address - Phone:832-698-2305
Mailing Address - Fax:
Practice Address - Street 1:15510 KERRVILLE CT
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77429-6092
Practice Address - Country:US
Practice Address - Phone:832-698-2305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-09
Last Update Date:2010-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19487235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist