Provider Demographics
NPI:1316578131
Name:KRAMER, ERIKA JANE (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ERIKA
Middle Name:JANE
Last Name:KRAMER
Suffix:
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 1:4750 HICKORY NUT PL
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:VA
Mailing Address - Zip Code:22025-1046
Mailing Address - Country:US
Mailing Address - Phone:571-230-9527
Mailing Address - Fax:
Practice Address - Street 1:4750 HICKORY NUT PL
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:VA
Practice Address - Zip Code:22025-1046
Practice Address - Country:US
Practice Address - Phone:571-230-9527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202006523235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist