Provider Demographics
NPI:1942881859
Name:KRAMER, MEGAN (AUD)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:BRATLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2848 2ND ST S STE 185
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-3708
Mailing Address - Country:US
Mailing Address - Phone:320-252-0094
Mailing Address - Fax:
Practice Address - Street 1:2848 2ND ST S STE 185
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-3708
Practice Address - Country:US
Practice Address - Phone:320-252-0094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-21
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN518057231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist