Doctor Name: | CAROL KRAKOWER |
NPI Number: | 1003901588 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | YS03784 |
Business Practice Address: | 2640 Highway 70 Building 5, Suite 101b Manasquan, NJ - 087362609 |
Business Phone Number: | 7328003001 |
Business Fax Number: | 7328003002 |
Mailing Address: | 2640 Highway 70, Building 5, Suite 101b MANASQUAN |
State: | NJ |
Postal Code: | 087362609 |
Phone Number: | 7328003001 |
Fax Number: | 7328003002 |
NPI Enumeration Date: | 10/03/2006 |
NPI Last Update Date: | 08/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | YS03784 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |