Provider Demographics
NPI:1760803977
Name:HAMILTON, CATHARINE M (MA, CCC-SLP, CAGS)
Entity Type:Individual
Prefix:
First Name:CATHARINE
Middle Name:M
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MA, CCC-SLP, CAGS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 HIGH ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BRATTLEBORO
Mailing Address - State:VT
Mailing Address - Zip Code:05301-2845
Mailing Address - Country:US
Mailing Address - Phone:802-258-7115
Mailing Address - Fax:
Practice Address - Street 1:22 HIGH ST
Practice Address - Street 2:SUITE 101
Practice Address - City:BRATTLEBORO
Practice Address - State:VT
Practice Address - Zip Code:05301-2845
Practice Address - Country:US
Practice Address - Phone:802-258-7115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-16
Last Update Date:2013-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT12007980OtherASHA CERTIFICATION