Provider Demographics
NPI:1255572806
Name:MEVS-HAMMOND, MAGALY (MS-CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MAGALY
Middle Name:
Last Name:MEVS-HAMMOND
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 1:402 E 154TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-1222
Mailing Address - Country:US
Mailing Address - Phone:718-618-7535
Mailing Address - Fax:718-618-7537
Practice Address - Street 1:3 PROSPECT TER
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705
Practice Address - Country:US
Practice Address - Phone:917-312-5553
Practice Address - Fax:718-860-6388
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY06225-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist