Provider Demographics
NPI:1629391453
Name:KRAMER, ELAINA LOUISOS (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:ELAINA
Middle Name:LOUISOS
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 HUMPHREY ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-1665
Mailing Address - Country:US
Mailing Address - Phone:781-639-8255
Mailing Address - Fax:
Practice Address - Street 1:210 HUMPHREY ST
Practice Address - Street 2:SUITE 104
Practice Address - City:MARBLEHEAD
Practice Address - State:MA
Practice Address - Zip Code:01945-1665
Practice Address - Country:US
Practice Address - Phone:781-639-8255
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA853235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist