Provider Demographics
NPI:1457641920
Name:SCHUTTE-HAMMON, CAREY LEIGH (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:CAREY
Middle Name:LEIGH
Last Name:SCHUTTE-HAMMON
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 1:3217 GREENLEAF CT
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-2027
Mailing Address - Country:US
Mailing Address - Phone:972-487-5099
Mailing Address - Fax:
Practice Address - Street 1:705 WALTER REED BLVD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-5726
Practice Address - Country:US
Practice Address - Phone:972-487-5099
Practice Address - Fax:972-487-5098
Is Sole Proprietor?:No
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19099235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist