MEDICARE: LINDA A HAMERNIK 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	SA 6691	FL

General Provider Information

NPI Number	:	1982867867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA A HAMERNIK CCC-SLP

Provider Business Mailing Address
First Line	:	3510 31ST AVE SW
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-8454
Country	:	US
Telephone Number	:	239-455-4125
Fax Number	:	239-455-4125

Provider Business Practice Location Address
First Line	:	3510 31ST AVE SW
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34117-8454
Country	:	US
Telephone Number	:	239-455-4125
Fax Number	:	239-455-4125

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

Provider Enumeration Date	:	07/09/2008
Last Update Date	:	07/09/2008

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Directions to “ LINDA A HAMERNIK CCC-SLP” Practice Location

Language	Start Address	Practice Location

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