Individual
MRS. SUSAN KRAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SOL
Contact information
Practice address
618 MAIN ST, LEWISTON, ME 04240-5935
(207) 795-6110
Mailing address
44 D STREET, SOUTH PORTLAND, ME 04106
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP626
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP626
SLP LICENSE
ME
Enumeration date
08/20/2010
Last updated
06/18/2013
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