Provider Demographics
NPI:1487850855
Name:HAMMOUD, LAURA M (SPEECH PATHOLOGIST)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:M
Last Name:HAMMOUD
Suffix:
Gender:F
Credentials:SPEECH PATHOLOGIST
Other - Prefix:MS
Other - First Name:LAURA
Other - Middle Name:M
Other - Last Name:CHIDESTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SPEECH PATHOLOGIST
Mailing Address - Street 1:249 GLENWOOD ROAD
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905
Mailing Address - Country:US
Mailing Address - Phone:607-348-6898
Mailing Address - Fax:
Practice Address - Street 1:249 GLENWOOD ROAD
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13905
Practice Address - Country:US
Practice Address - Phone:607-348-6898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-22
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016374-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist