Provider Demographics
NPI:1164586947
Name:HUME, GARRETT (PHD)
Entity Type:Individual
Prefix:
First Name:GARRETT
Middle Name:
Last Name:HUME
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 CLIPPER CT
Mailing Address - Street 2:
Mailing Address - City:EMERALD ISLE
Mailing Address - State:NC
Mailing Address - Zip Code:28594-7106
Mailing Address - Country:US
Mailing Address - Phone:252-354-0626
Mailing Address - Fax:
Practice Address - Street 1:104 CLIPPER CT
Practice Address - Street 2:
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594-7106
Practice Address - Country:US
Practice Address - Phone:252-354-0626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC104231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist