Provider Demographics
NPI:1316429426
Name:KRAMER, HALLIE MARIE (AUD)
Entity type:Individual
Prefix:MISS
First Name:HALLIE
Middle Name:MARIE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HALLIE
Other - Middle Name:MARIE
Other - Last Name:GANCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:5140 LIBERTY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2215
Mailing Address - Country:US
Mailing Address - Phone:412-681-2300
Mailing Address - Fax:
Practice Address - Street 1:5140 LIBERTY AVE STE 102
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2215
Practice Address - Country:US
Practice Address - Phone:412-681-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-05
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006584231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
14363546OtherCAQH