Provider Demographics
NPI:1427894799
Name:KRAMER, AMELIA CAROLINE (MA-CCC-SLP)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:CAROLINE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MA-CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 CAMELLIA DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2071
Mailing Address - Country:US
Mailing Address - Phone:919-357-3783
Mailing Address - Fax:
Practice Address - Street 1:4405 LIVE OAK TRL
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-9606
Practice Address - Country:US
Practice Address - Phone:919-907-0849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30002274235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist