Provider Demographics
NPI:1164201331
Name:KRAMER, EMILY ZIMMERMAN I (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:ZIMMERMAN
Last Name:KRAMER
Suffix:I
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 1:18209 133RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-6851
Mailing Address - Country:US
Mailing Address - Phone:425-495-4906
Mailing Address - Fax:
Practice Address - Street 1:18209 133RD AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98058-6851
Practice Address - Country:US
Practice Address - Phone:425-495-4906
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-26
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASLP.LL.60664822235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist