Healthcare Provider Details
I. General information
NPI: 1457387904
Provider Name (Legal Business Name): HAMMOND ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/25/2006
Last Update Date: 10/06/2023
Certification Date: 10/06/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1250 FOREST AVE STE 301
PORTLAND ME
04103-1884
US
IV. Provider business mailing address
1250 FOREST AVE
PORTLAND ME
04103-1889
US
V. Phone/Fax
- Phone: 207-797-8255
- Fax: 207-797-5560
- Phone: 207-797-8255
- Fax: 207-797-5560
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103K00000X |
| Taxonomy | Behavior Analyst |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | ME |
VIII. Authorized Official
Name:
SARA
E
HUNTER
Title or Position: BILLING SPECIALIST
Credential:
Phone: 207-797-8255