Individual
MS. DEBORAH O KRANAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC
Contact information
Practice address
4900 MITTIE LN, PANAMA CITY, FL 32404-4284
(850) 872-8459
Mailing address
4900 MITTIE LN, PANAMA CITY, FL 32404-4284
(850) 872-8459
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA853
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004040100
—
FL
Enumeration date
08/22/2011
Last updated
10/04/2011
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