Provider Demographics
NPI:1912250143
Name:HERMANNS-LAFRAMBOISE, KRIS MARIE (MA CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:KRIS
Middle Name:MARIE
Last Name:HERMANNS-LAFRAMBOISE
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:KRIS
Other - Middle Name:MARIE
Other - Last Name:HERMANNS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6524 125TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-8519
Mailing Address - Country:US
Mailing Address - Phone:206-817-3715
Mailing Address - Fax:
Practice Address - Street 1:6524 125TH AVE NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-8519
Practice Address - Country:US
Practice Address - Phone:206-817-3715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-25
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL00003613235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist