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NPI Code Detail

MEDICARE: MRS. EVAN LEE HAMMETT MSP, CCC - SLP

MEDICARE: MRS. EVAN LEE HAMMETT MSP, 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 Pathologist2961SC

General Provider Information

NPI Number : 1811083280
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. EVAN LEE HAMMETT MSP, CCC - SLP
Provider Business Mailing Address
First Line : 105 FERNBROOK CIR
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-2207
Country : US
Telephone Number : 864-582-0102
Fax Number :
Provider Business Practice Location Address
First Line : 850 E BUTLER RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29607-5842
Country : US
Telephone Number : 864-675-6421
Fax Number : 864-675-9122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/08/2007

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