Individual
MS. BETH ANNE KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC/SLP-L
Contact information
Practice address
129 E MOSHER ST, FALCONER, NY 14733-1225
(716) 665-4544
Mailing address
129 E MOSHER ST, FALCONER, NY 14733-1225
(716) 665-4544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0100861
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01430437
—
NY
Enumeration date
05/20/2008
Last updated
05/20/2008
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