Provider Demographics
NPI:1528267283
Name:HAMILTON, ANN MARIE (MA, CCC/SLP)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:MARIE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 WHITMORE CT
Mailing Address - Street 2:
Mailing Address - City:PAINESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44077-8600
Mailing Address - Country:US
Mailing Address - Phone:440-352-4403
Mailing Address - Fax:440-352-4403
Practice Address - Street 1:65 WHITMORE CT
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-8600
Practice Address - Country:US
Practice Address - Phone:440-352-4403
Practice Address - Fax:440-352-4403
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP-3878235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist