Provider Demographics
NPI:1942537683
Name:KRAMER, JILL RENEE (AUD)
Entity Type:Individual
Prefix:DR
First Name:JILL
Middle Name:RENEE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 8792
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-8792
Mailing Address - Country:US
Mailing Address - Phone:440-232-6789
Mailing Address - Fax:440-786-1321
Practice Address - Street 1:88 CENTER RD STE 230
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-2708
Practice Address - Country:US
Practice Address - Phone:440-232-6789
Practice Address - Fax:440-786-1321
Is Sole Proprietor?:No
Enumeration Date:2009-11-17
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01699231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist