Provider Demographics
NPI:1427310499
Name:HAMILTON, AMY ADELE (MA, CCC/SLP)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ADELE
Last Name:HAMILTON
Suffix:
Gender:F
Credentials:MA, CCC/SLP
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:ADELE
Other - Last Name:MILIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC/SLP
Mailing Address - Street 1:3350 MEADOWSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SACHSE
Mailing Address - State:TX
Mailing Address - Zip Code:75048-2270
Mailing Address - Country:US
Mailing Address - Phone:979-618-1729
Mailing Address - Fax:
Practice Address - Street 1:2240 BUSH DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-7547
Practice Address - Country:US
Practice Address - Phone:972-424-0148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-14
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107804235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist