Dora Juliet Hammer-Johnston, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Alba, TX
NPI 1972915320 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1972915320
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 109588 (TX)
- Practice address
- 1590 N FM 17 Unit 19
Alba, TX 75410-2676 - Phone
- (830) 825-0065
- Fax
- (946) 543-2940
- NPI assigned
- May 20, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adaptive Rehabilitation Clinics, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 109588 | TX | Yes |
Addresses
Primary practice location
1590 N FM 17 Unit 19
Alba, TX 75410-2676
Mailing address
1590 N FM 17 Unit 19
Alba, TX 75410-2676
Phone (830) 825-0065
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109588 | Other | TX | TDLR |
| 14032517 | Other | ASHA |
Other providers in Alba, TX
- Morgan Taylor Brown
- Kaysi Shaye Covey
- Katherine Smith Currie
- Amy Mariah Hayes
- Jean Carol Hickman
- Kelly Ann Jewell-Franken
- Jennifer Knuckles
- Micah D Kolb I
All providers in Alba, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.