Provider Demographics
NPI:1790298925
Name:HAMAMOTO, DEBRA MICHIKO (MASTERS DEGREE)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:MICHIKO
Last Name:HAMAMOTO
Suffix:
Gender:F
Credentials:MASTERS DEGREE
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:MICHIKO
Other - Last Name:ROBINSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:500 W LONGFELLOW AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-1103
Mailing Address - Country:US
Mailing Address - Phone:509-354-4430
Mailing Address - Fax:509-354-4474
Practice Address - Street 1:500 W LONGFELLOW AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-1103
Practice Address - Country:US
Practice Address - Phone:509-354-4430
Practice Address - Fax:509-354-4474
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-09
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL60736168235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist