Provider Demographics
NPI:1902832744
Name:KADRIC, DOREEN STRAW (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:DOREEN
Middle Name:STRAW
Last Name:KADRIC
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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Other - First Name:
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Mailing Address - Street 1:59 MEIGS RD
Mailing Address - Street 2:
Mailing Address - City:VERGENNES
Mailing Address - State:VT
Mailing Address - Zip Code:05491-8905
Mailing Address - Country:US
Mailing Address - Phone:802-388-4001
Mailing Address - Fax:802-388-3474
Practice Address - Street 1:HELEN PORTER HEALTHCARE AND REHABILITATION CENTER
Practice Address - Street 2:30 PORTER DRIVE
Practice Address - City:MIDDLEBURY
Practice Address - State:VT
Practice Address - Zip Code:05753
Practice Address - Country:US
Practice Address - Phone:802-388-4001
Practice Address - Fax:802-388-3474
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist