Provider Demographics
NPI:1356591804
Name:HAMMOND, TAMARA LATHELL
Entity type:Individual
Prefix:MS
First Name:TAMARA
Middle Name:LATHELL
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TAMARA
Other - Middle Name:LATHELL
Other - Last Name:HAMMOND-RICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17 FORESTLAND COURT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29212-2447
Mailing Address - Country:US
Mailing Address - Phone:803-518-8299
Mailing Address - Fax:
Practice Address - Street 1:17 FORESTLAND COURT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29212-2447
Practice Address - Country:US
Practice Address - Phone:803-518-8299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2887235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC2887Medicaid