Provider Demographics
NPI:1851168157
Name:HAMMETT, KATIE PATRICIA (MS)
Entity Type:Individual
Prefix:
First Name:KATIE
Middle Name:PATRICIA
Last Name:HAMMETT
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 PRAIRIE POINT RD
Mailing Address - Street 2:
Mailing Address - City:EOLIA
Mailing Address - State:MO
Mailing Address - Zip Code:63344
Mailing Address - Country:US
Mailing Address - Phone:573-754-2213
Mailing Address - Fax:
Practice Address - Street 1:64 HIGHWAY UU
Practice Address - Street 2:
Practice Address - City:SILEX
Practice Address - State:MO
Practice Address - Zip Code:63377-2231
Practice Address - Country:US
Practice Address - Phone:573-754-2213
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-06
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023043670235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist