Provider Demographics
NPI:1649067273
Name:HAMMONS, MARY ASHLEY (MS CCC SLP)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ASHLEY
Last Name:HAMMONS
Suffix:
Gender:
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BROOKSVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39739-2004
Mailing Address - Country:US
Mailing Address - Phone:662-738-4866
Mailing Address - Fax:
Practice Address - Street 1:55 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:BROOKSVILLE
Practice Address - State:MS
Practice Address - Zip Code:39739-2004
Practice Address - Country:US
Practice Address - Phone:662-783-4866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-24
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSS-4959235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist