MEDICARE: DR. JOAN REED HAMILL AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	41YA00030500	NJ

General Provider Information

NPI Number	:	1518908912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOAN REED HAMILL AU.D.

Provider Business Mailing Address
First Line	:	8408 KINGS VIEW CT
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77316-3719
Country	:	US
Telephone Number	:	936-483-6106
Fax Number	:	561-598-7212

Provider Business Practice Location Address
First Line	:	8408 KINGS VIEW CT
Second Line	:
City	:	MONTGOMERY
State	:	TX
Zip	:	77316-3719
Country	:	US
Telephone Number	:	936-483-6106
Fax Number	:	936-588-3881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	12/01/2010

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