Provider Demographics
NPI:1811148711
Name:HUME, STARR (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:STARR
Middle Name:
Last Name:HUME
Suffix:
Gender:F
Credentials:MA, 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:USAMEDDAC HEIDELBERG
Mailing Address - Street 2:CMR 442
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09042
Mailing Address - Country:US
Mailing Address - Phone:49662-117-2738
Mailing Address - Fax:49622-117-2335
Practice Address - Street 1:USAMEDDAC HEIDELBERG
Practice Address - Street 2:CMR 442
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09042
Practice Address - Country:US
Practice Address - Phone:49622-117-2738
Practice Address - Fax:49622-117-2335
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2008-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GASLP005781235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist