Provider Demographics
NPI:1629314984
Name:KREJMAS, JODEE JUANITA
Entity Type:Individual
Prefix:MRS
First Name:JODEE
Middle Name:JUANITA
Last Name:KREJMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WESTMONT RD
Mailing Address - Street 2:
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109-3995
Mailing Address - Country:US
Mailing Address - Phone:860-372-4056
Mailing Address - Fax:
Practice Address - Street 1:5 WESTMONT RD
Practice Address - Street 2:
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-3995
Practice Address - Country:US
Practice Address - Phone:860-372-4056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-13
Last Update Date:2012-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT004603235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist