Provider Demographics
NPI:1417786286
Name:HAMMAKER, HANNAH SMITH
Entity type:Individual
Prefix:MISS
First Name:HANNAH
Middle Name:SMITH
Last Name:HAMMAKER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2240 CHIPWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-9720
Mailing Address - Country:US
Mailing Address - Phone:336-403-3819
Mailing Address - Fax:
Practice Address - Street 1:2240 CHIPWOOD LN
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-9720
Practice Address - Country:US
Practice Address - Phone:336-403-3819
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11476235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist