Provider Demographics
NPI:1245964592
Name:KRAEMER, SHELBY CATHERINE (MS, CF-SLP)
Entity type:Individual
Prefix:MS
First Name:SHELBY
Middle Name:CATHERINE
Last Name:KRAEMER
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16650 HUEBNER RD APT 1726
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78248-2322
Mailing Address - Country:US
Mailing Address - Phone:936-635-5531
Mailing Address - Fax:
Practice Address - Street 1:16650 HUEBNER RD APT 1726
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78248-2322
Practice Address - Country:US
Practice Address - Phone:936-635-5531
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119952235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist