Provider Demographics
NPI:1336638857
Name:KRAMER, KAITLIN (MS, CCC-SLP)
Entity Type:Individual
Prefix:MISS
First Name:KAITLIN
Middle Name:
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 1:145 ROSEMARY ST. SUITE C
Mailing Address - Street 2:CHILDREN'S SPEECH AND FEEDING THERAPY, INC.
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02494
Mailing Address - Country:US
Mailing Address - Phone:781-400-5305
Mailing Address - Fax:
Practice Address - Street 1:145 ROSEMARY ST. SUITE C
Practice Address - Street 2:CHILDREN'S SPEECH AND FEEDING THERAPY, INC.
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02494
Practice Address - Country:US
Practice Address - Phone:781-400-5305
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-10
Last Update Date:2018-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA76841-SP-SL235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist