Provider Demographics
NPI:1568175750
Name:HAMPTON, NIKKA N (BA, MED, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:NIKKA
Middle Name:N
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:BA, MED, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8680 REDLAND CT
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30238-4379
Mailing Address - Country:US
Mailing Address - Phone:216-400-2113
Mailing Address - Fax:
Practice Address - Street 1:8680 REDLAND CT
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30238-4379
Practice Address - Country:US
Practice Address - Phone:216-400-2113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP012209235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist