Provider Demographics
NPI:1285915959
Name:HAMILTON, JAMIE MICHELLE (MS, CFY-SLP)
Entity type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:MICHELLE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MS, CFY-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10631 HIGHWAY 764
Mailing Address - Street 2:
Mailing Address - City:WHITESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42378-9735
Mailing Address - Country:US
Mailing Address - Phone:270-233-4141
Mailing Address - Fax:
Practice Address - Street 1:10631 HIGHWAY 764
Practice Address - Street 2:
Practice Address - City:WHITESVILLE
Practice Address - State:KY
Practice Address - Zip Code:42378-9735
Practice Address - Country:US
Practice Address - Phone:270-233-4141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10-014A235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist