Provider Demographics
NPI:1023133287
Name:HAMILTON, PAULA LYNN (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:LYNN
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 HANOVER CT
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-8293
Mailing Address - Country:US
Mailing Address - Phone:630-844-0837
Mailing Address - Fax:630-844-9980
Practice Address - Street 1:710 HANOVER CT
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-8293
Practice Address - Country:US
Practice Address - Phone:630-844-0837
Practice Address - Fax:630-844-9980
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146005357235Z00000X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty