Provider Demographics
NPI:1861658494
Name:HAMILL, TERI A (PHD)
Entity type:Individual
Prefix:PROF
First Name:TERI
Middle Name:A
Last Name:HAMILL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3200 S UNIVERSITY DRIVE
Mailing Address - Street 2:AUDIOLOGY, ALLIED HEALTH, NOVA SOUTHEASTERN UNIVERSITY
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328
Mailing Address - Country:US
Mailing Address - Phone:954-262-7739
Mailing Address - Fax:954-262-2908
Practice Address - Street 1:3200 S UNIVERSITY DRIVE
Practice Address - Street 2:AUDIOLOGY, ALLIED HEALTH, NOVA SOUTHEASTERN UNIVERSITY
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:954-262-7750
Practice Address - Fax:954-262-2908
Is Sole Proprietor?:No
Enumeration Date:2008-08-04
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY838231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist