Provider Demographics
NPI:1588837355
Name:CRAMER, MICHELE LENNARD (AUD)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:LENNARD
Last Name:CRAMER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:MICHELE
Other - Middle Name:LENNARD
Other - Last Name:CRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2633 NAPOLEON AVE STE 703
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-7420
Mailing Address - Country:US
Mailing Address - Phone:504-301-1271
Mailing Address - Fax:504-301-1870
Practice Address - Street 1:2633 NAPOLEON AVE STE 703
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-7420
Practice Address - Country:US
Practice Address - Phone:504-301-1271
Practice Address - Fax:504-301-1870
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-11
Last Update Date:2021-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020034093237600000X
LA5701237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA04829558Medicaid
LA1325732Medicaid
MS04829558Medicaid
LA1325732Medicaid
3A632Medicare UPIN
3A6327061Medicare PIN
LA3A6327061Medicare PIN