Provider Demographics
NPI:1053960237
Name:HAMMOND, HUGH SCOTT JR (MS CCC-SLP)
Entity type:Individual
Prefix:MR
First Name:HUGH
Middle Name:SCOTT
Last Name:HAMMOND
Suffix:JR
Gender:M
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 1:12400 KNIGHTSBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22192-5190
Mailing Address - Country:US
Mailing Address - Phone:703-590-3711
Mailing Address - Fax:
Practice Address - Street 1:12400 KNIGHTSBRIDGE DR
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22192-5190
Practice Address - Country:US
Practice Address - Phone:703-590-3711
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2203000426235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist