Provider Demographics
NPI:1750526588
Name:KRAMER, CHAYA SARA (MS-CCC-SLP)
Entity type:Individual
Prefix:
First Name:CHAYA
Middle Name:SARA
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MS-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 OMNI CT
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-4736
Mailing Address - Country:US
Mailing Address - Phone:732-730-0779
Mailing Address - Fax:
Practice Address - Street 1:6 OMNI CT
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-4736
Practice Address - Country:US
Practice Address - Phone:732-730-0779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-08
Last Update Date:2008-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY127051235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist