Provider Demographics
NPI:1972841377
Name:CRAMER, GRACE ANNE (SLP)
Entity Type:Individual
Prefix:MS
First Name:GRACE
Middle Name:ANNE
Last Name:CRAMER
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 1:62 WILTSHIRE WAY
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309-4942
Mailing Address - Country:US
Mailing Address - Phone:518-372-4334
Mailing Address - Fax:
Practice Address - Street 1:62 WILTSHIRE WAY
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309-4942
Practice Address - Country:US
Practice Address - Phone:518-372-4334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-21
Last Update Date:2013-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002394-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist