Provider Demographics
NPI:1750945465
Name:HAMMOND, LAKEESHA L (SLP)
Entity type:Individual
Prefix:MRS
First Name:LAKEESHA
Middle Name:L
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:MS
Other - First Name:LAKEESHA
Other - Middle Name:RENEE
Other - Last Name:LINNING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLP
Mailing Address - Street 1:1313 MERGANSER CT
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-7016
Mailing Address - Country:US
Mailing Address - Phone:843-810-4154
Mailing Address - Fax:
Practice Address - Street 1:1313 MERGANSER CT
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-7016
Practice Address - Country:US
Practice Address - Phone:843-810-4154
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-29
Last Update Date:2019-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD04882235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist