Provider Demographics
NPI:1235838608
Name:BOND, KRAYMER ANNE MAE (MS, SLP-CCC)
Entity Type:Individual
Prefix:
First Name:KRAYMER
Middle Name:ANNE MAE
Last Name:BOND
Suffix:
Gender:F
Credentials:MS, SLP-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2200 BENJAMIN FRANKLIN PKWY APT N903
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-3707
Mailing Address - Country:US
Mailing Address - Phone:860-543-9319
Mailing Address - Fax:
Practice Address - Street 1:2200 BENJAMIN FRANKLIN PKWY APT N903
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-3707
Practice Address - Country:US
Practice Address - Phone:860-543-9319
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-24
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL016873235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist