Provider Demographics
NPI:1841573730
Name:HAMMOND, CHRISTINA
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 REGIONS WAY
Mailing Address - Street 2:BUILDING 1 SUITE E
Mailing Address - City:DESTIN
Mailing Address - State:FL
Mailing Address - Zip Code:32541-5106
Mailing Address - Country:US
Mailing Address - Phone:850-424-5469
Mailing Address - Fax:850-424-5592
Practice Address - Street 1:151 REGIONS WAY
Practice Address - Street 2:BUILDING 1 SUITE E
Practice Address - City:DESTIN
Practice Address - State:FL
Practice Address - Zip Code:32541-5106
Practice Address - Country:US
Practice Address - Phone:850-424-5469
Practice Address - Fax:850-424-5592
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ5607235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist