Provider Demographics
NPI:1295088441
Name:HAMLETT, ILKA D (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ILKA
Middle Name:D
Last Name:HAMLETT
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:MISS
Other - First Name:ILKA
Other - Middle Name:D
Other - Last Name:MELENDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:59 KENSINGTON RD APT BB
Mailing Address - Street 2:
Mailing Address - City:BRONXVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10708-1417
Mailing Address - Country:US
Mailing Address - Phone:347-843-3260
Mailing Address - Fax:
Practice Address - Street 1:59 KENSINGTON RD APT BB
Practice Address - Street 2:
Practice Address - City:BRONXVILLE
Practice Address - State:NY
Practice Address - Zip Code:10708-1417
Practice Address - Country:US
Practice Address - Phone:347-843-3260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-24
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY021334235Z00000X
NY58021334235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist