Provider Demographics
NPI:1396041851
Name:HAMILTON, ANGELA FISHER (MA, CCC)
Entity Type:Individual
Prefix:MS
First Name:ANGELA
Middle Name:FISHER
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-4944
Mailing Address - Country:US
Mailing Address - Phone:828-328-4313
Mailing Address - Fax:828-328-4820
Practice Address - Street 1:326 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-4944
Practice Address - Country:US
Practice Address - Phone:828-328-4313
Practice Address - Fax:828-328-4820
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2011-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3476235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist