Provider Demographics
NPI:1194192468
Name:HAMMOND ASSESSMENT SERVICES, P.A.
Entity Type:Organization
Organization Name:HAMMOND ASSESSMENT SERVICES, P.A.
Other - Org Name:HAMMOND ASSESSMENT AND THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR AND SPEECH PATHOLOGIS
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-313-2422
Mailing Address - Street 1:135 KEOWEE AVE
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29605-2918
Mailing Address - Country:US
Mailing Address - Phone:864-313-2422
Mailing Address - Fax:864-263-7575
Practice Address - Street 1:355 WOODRUFF RD STE 101
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3419
Practice Address - Country:US
Practice Address - Phone:864-609-4188
Practice Address - Fax:864-263-7575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-21
Last Update Date:2015-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC468261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center