MEDICARE: MRS. JAIME MICHELE HAMMOND MA 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
1	235Z00000X	Speech-Language Pathologist	22003522A	IN

General Provider Information

NPI Number	:	1568445641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JAIME MICHELE HAMMOND MA CCC SLP

Provider Business Mailing Address
First Line	:	7655 E STATE ROAD 66
Second Line	:
City	:	CANNELTON
State	:	IN
Zip	:	47520-6633
Country	:	US
Telephone Number	:	812-568-3959
Fax Number	:	812-547-0290

Provider Business Practice Location Address
First Line	:	7655 E STATE ROAD 66
Second Line	:
City	:	CANNELTON
State	:	IN
Zip	:	47520-6633
Country	:	US
Telephone Number	:	812-568-3959
Fax Number	:	812-547-0290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/22/2005
Last Update Date	:	04/07/2023

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