Healthcare Provider Details
I. General information
NPI: 1215856778
Provider Name (Legal Business Name): CECILIA HAMMOND CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2240 N LAPEER RD
LAPEER MI
48446-8619
US
IV. Provider business mailing address
45 STERLING DR
LAPEER MI
48446-2826
US
V. Phone/Fax
- Phone: 810-580-0807
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | 7152001370 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: