Healthcare Provider Details

I. General information

NPI: 1518486778
Provider Name (Legal Business Name): NAOMI ROSE KRAMER MS, CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 WEST ST
WILMINGTON MA
01887-3039
US

IV. Provider business mailing address

276 CANAL ST
BRATTLEBORO VT
05301-5609
US

V. Phone/Fax

Practice location:
  • Phone: 978-658-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number028221
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number77196
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: