Provider Demographics
NPI:1609020775
Name:HAMMOND, MINDY (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MRS
Other - First Name:CHAYA
Other - Middle Name:MINDEL
Other - Last Name:HAMMOND
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:3321 AVENUE L
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-5439
Mailing Address - Country:US
Mailing Address - Phone:718-692-2560
Mailing Address - Fax:
Practice Address - Street 1:3321 AVENUE L
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-5439
Practice Address - Country:US
Practice Address - Phone:718-692-2560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-15
Last Update Date:2008-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009688-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist