Provider Demographics
NPI:1306080148
Name:HAMILTON, LYNDA MARIE (TSHH)
Entity type:Individual
Prefix:
First Name:LYNDA
Middle Name:MARIE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:TSHH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7042 PENCEE LN
Mailing Address - Street 2:
Mailing Address - City:EAST SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13057-2637
Mailing Address - Country:US
Mailing Address - Phone:315-558-2227
Mailing Address - Fax:
Practice Address - Street 1:7042 PENCEE LN
Practice Address - Street 2:
Practice Address - City:EAST SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13057-2637
Practice Address - Country:US
Practice Address - Phone:315-558-2227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY485485235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist