Provider Demographics
NPI:1356645030
Name:NICHOLS HAMMERMAN, JAIMEE SUZANNE (MS; CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JAIMEE
Middle Name:SUZANNE
Last Name:NICHOLS HAMMERMAN
Suffix:
Gender:F
Credentials:MS; CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814-B WILDWOOD CT
Mailing Address - Street 2:
Mailing Address - City:WALKERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21793
Mailing Address - Country:US
Mailing Address - Phone:301-845-2336
Mailing Address - Fax:
Practice Address - Street 1:2814-B WILDWOOD CT.
Practice Address - Street 2:
Practice Address - City:WALKERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21793
Practice Address - Country:US
Practice Address - Phone:301-845-2336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05634235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist