Provider Demographics
NPI:1558108761
Name:HAMILL, LOIS CLARK (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:CLARK
Last Name:HAMILL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:DARROUZETT
Mailing Address - State:TX
Mailing Address - Zip Code:79024-0248
Mailing Address - Country:US
Mailing Address - Phone:806-664-1470
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1048
Practice Address - Street 2:
Practice Address - City:PERRYTON
Practice Address - State:TX
Practice Address - Zip Code:79070-1048
Practice Address - Country:US
Practice Address - Phone:806-435-4412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13610235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist