Healthcare Provider Details

I. General information

NPI: 1225522360
Provider Name (Legal Business Name): JONNA HAMBY MA, CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2018
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3971 KNIGHT ARNOLD RD
MEMPHIS TN
38118-3004
US

IV. Provider business mailing address

3971 KNIGHT ARNOLD RD
MEMPHIS TN
38118-3004
US

V. Phone/Fax

Practice location:
  • Phone: 901-869-9236
  • Fax: 901-869-9236
Mailing address:
  • Phone: 901-869-9236
  • Fax: 901-869-9236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: