Provider Demographics
NPI:1568445641
Name:HAMMOND, JAIME MICHELE (MA CCC SLP)
Entity Type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:MICHELE
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:MA CCC SLP
Other - Prefix:MISS
Other - First Name:JAIME
Other - Middle Name:MICHELE
Other - Last Name:HARTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC SLP
Mailing Address - Street 1:7655 E STATE ROAD 66
Mailing Address - Street 2:
Mailing Address - City:CANNELTON
Mailing Address - State:IN
Mailing Address - Zip Code:47520-6633
Mailing Address - Country:US
Mailing Address - Phone:812-568-3959
Mailing Address - Fax:812-547-0290
Practice Address - Street 1:7655 E STATE ROAD 66
Practice Address - Street 2:
Practice Address - City:CANNELTON
Practice Address - State:IN
Practice Address - Zip Code:47520-6633
Practice Address - Country:US
Practice Address - Phone:812-568-3959
Practice Address - Fax:812-547-0290
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22003522A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist