Provider Demographics
NPI:1821665688
Name:KRAMER, JESSICA L (MS)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:L
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W5935 STRAWFLOWER DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-7427
Mailing Address - Country:US
Mailing Address - Phone:920-419-4548
Mailing Address - Fax:
Practice Address - Street 1:W6127 LORNA LN
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-7465
Practice Address - Country:US
Practice Address - Phone:920-840-3033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist