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NPI Code Detail

MEDICARE: MRS. ANNE MARIE HAMELIN M.A. CCC-SLP

MEDICARE: MRS. ANNE MARIE HAMELIN M.A. CCC-SLP
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 Pathologist013750-1NY
2235Z00000XSpeech-Language Pathologist013750NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063478295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNE MARIE HAMELIN M.A. CCC-SLP
Provider Business Mailing Address
First Line : 3267 EVERGREEN CIR
Second Line :
City : WALWORTH
State : NY
Zip : 14568-9426
Country : US
Telephone Number : 315-538-8096
Fax Number :
Provider Business Practice Location Address
First Line : 1000 ELMWOOD AVE STE 100
Second Line :
City : ROCHESTER
State : NY
Zip : 14620-3093
Country : US
Telephone Number : 585-271-0760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2006
Last Update Date : 01/22/2021

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