Provider Demographics
NPI:1851714406
Name:HAMMOND, TASHA
Entity Type:Individual
Prefix:MR
First Name:TASHA
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 1:1837 E 84TH ST
Mailing Address - Street 2:APT #3
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60617-2200
Mailing Address - Country:US
Mailing Address - Phone:773-951-8009
Mailing Address - Fax:
Practice Address - Street 1:1837 E 84TH ST
Practice Address - Street 2:APT #3
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60617-2200
Practice Address - Country:US
Practice Address - Phone:773-951-8009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-31
Last Update Date:2014-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2170001312355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant