MEDICARE: MRS. CHERYL STONER KRAMER MA, CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SA3200	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01088902	OTHER		ASHA NUMBER
2	L15000134762	OTHER	FL	LIMITED LIABILITY COMPANY NUMBER
3	SA3200	OTHER	FL	FL STATE LICENSE

General Provider Information

NPI Number	:	1558724690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERYL STONER KRAMER MA, CCC-SLP

Provider Business Mailing Address
First Line	:	129 VIA HAVARRE
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-2924
Country	:	US
Telephone Number	:	321-987-8615
Fax Number	:	321-459-2465

Provider Business Practice Location Address
First Line	:	105 N GROVE ST
Second Line	:
City	:	MERRITT ISLAND
State	:	FL
Zip	:	32953-3441
Country	:	US
Telephone Number	:	321-459-1313
Fax Number	:	321-459-9494

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/04/2016
Last Update Date	:	04/04/2016

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Directions to “ MRS. CHERYL STONER KRAMER MA, CCC-SLP” Practice Location

Language	Start Address	Practice Location

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