Provider Demographics
NPI:1972915320
Name:HAMMER-JOHNSTON, DORA JULIET (MA, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DORA
Middle Name:JULIET
Last Name:HAMMER-JOHNSTON
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1590 N FM 17 UNIT 19
Mailing Address - Street 2:
Mailing Address - City:ALBA
Mailing Address - State:TX
Mailing Address - Zip Code:75410-2676
Mailing Address - Country:US
Mailing Address - Phone:830-825-0065
Mailing Address - Fax:946-543-2940
Practice Address - Street 1:1590 N FM 17 UNIT 19
Practice Address - Street 2:
Practice Address - City:ALBA
Practice Address - State:TX
Practice Address - Zip Code:75410-2676
Practice Address - Country:US
Practice Address - Phone:830-825-0065
Practice Address - Fax:946-543-2940
Is Sole Proprietor?:No
Enumeration Date:2014-05-20
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX109588235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX109588OtherTDLR
14032517OtherASHA