Individual
AMANDA KRAMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3020 CHILDRENS WAY # MC5152, SAN DIEGO, CA 92123-4223
(858) 576-1700
Mailing address
3020 CHILDRENS WAY # MC5152, SAN DIEGO, CA 92123-4223
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
18189
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12158600
ASHA
—
01
—
18189
CA LICENSE
CA
Enumeration date
09/26/2014
Last updated
09/26/2014
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