Individual
MRS. BARI ELYSE KRULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 377-4660
Mailing address
41 OCONNOR RD, FAIRPORT, NY 14450-1327
(585) 377-4660
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0194201
NY
Other
Enumeration date
08/19/2011
Last updated
08/19/2011
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