Provider Demographics
NPI:1487211041
Name:HAMMEL, VICKI (MS,CCC-SLP)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:HAMMEL
Suffix:
Gender:F
Credentials:MS,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 THOMPSON DR
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-2346
Mailing Address - Country:US
Mailing Address - Phone:276-739-3041
Mailing Address - Fax:276-623-4131
Practice Address - Street 1:812 THOMPSON DR
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-2346
Practice Address - Country:US
Practice Address - Phone:276-739-3041
Practice Address - Fax:276-623-4131
Is Sole Proprietor?:No
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202007911235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist