Provider Demographics
NPI:1083108864
Name:KRUZITS, MEREDITH REGINA (AUD)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:REGINA
Last Name:KRUZITS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MEREDITH
Other - Middle Name:
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AU D
Mailing Address - Street 1:6565 N CHARLES ST STE 601
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21204-5801
Mailing Address - Country:US
Mailing Address - Phone:410-821-5152
Mailing Address - Fax:410-823-7866
Practice Address - Street 1:6565 N CHARLES ST STE 601
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21204
Practice Address - Country:US
Practice Address - Phone:410-821-5151
Practice Address - Fax:410-823-8309
Is Sole Proprietor?:No
Enumeration Date:2018-06-15
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01473231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist