Provider Demographics
NPI:1659640852
Name:KROMANN, CHARLOTTA SORINE (SLP)
Entity Type:Individual
Prefix:
First Name:CHARLOTTA
Middle Name:SORINE
Last Name:KROMANN
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19705 88TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-2121
Mailing Address - Country:US
Mailing Address - Phone:425-408-5570
Mailing Address - Fax:425-408-5572
Practice Address - Street 1:19705 88TH AVE NE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011
Practice Address - Country:US
Practice Address - Phone:425-408-5570
Practice Address - Fax:425-408-5572
Is Sole Proprietor?:No
Enumeration Date:2011-12-19
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASI60251616235Z00000X
WALL60390025235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist