Provider Demographics
NPI:1609187327
Name:KRAMER, JENNIFER ASHLEY (MS CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:ASHLEY
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 TANGLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27909-9744
Mailing Address - Country:US
Mailing Address - Phone:252-548-4778
Mailing Address - Fax:252-335-0674
Practice Address - Street 1:11 TANGLEWOOD DR
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-9744
Practice Address - Country:US
Practice Address - Phone:252-548-4778
Practice Address - Fax:252-335-0674
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-28
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7034235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist