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NPI Code Detail

MEDICARE: CARLY HAMMELRATH

MEDICARE: CARLY HAMMELRATH
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1871360701
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLY HAMMELRATH
Provider Business Mailing Address
First Line : 2795 N SPEER BLVD APT A-328
Second Line :
City : DENVER
State : CO
Zip : 80211-4270
Country : US
Telephone Number : 513-388-1824
Fax Number :
Provider Business Practice Location Address
First Line : 9700 E POWERS AVE
Second Line :
City : GREENWOOD VILLAGE
State : CO
Zip : 80111-3545
Country : US
Telephone Number : 303-596-9074
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2023
Last Update Date : 02/21/2025

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Directions to “ CARLY HAMMELRATH ” Practice Location

Language Start Address Practice Location
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