Provider Demographics
NPI:1972884864
Name:HAMMEL, SARA B (MS SLP)
Entity Type:Individual
Prefix:
First Name:SARA
Middle Name:B
Last Name:HAMMEL
Suffix:
Gender:F
Credentials:MS SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 HASKILL DR
Mailing Address - Street 2:
Mailing Address - City:WHITEFISH
Mailing Address - State:MT
Mailing Address - Zip Code:59937-8214
Mailing Address - Country:US
Mailing Address - Phone:518-534-1701
Mailing Address - Fax:
Practice Address - Street 1:110 HASKILL DR
Practice Address - Street 2:
Practice Address - City:WHITEFISH
Practice Address - State:MT
Practice Address - Zip Code:59937-8214
Practice Address - Country:US
Practice Address - Phone:518-534-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-06
Last Update Date:2016-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTSLP-SP-LIC-4900235Z00000X
NY020233-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist