| Doctor Name: | ANDREA KRULAC |
| NPI Number: | 1013128370 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 100786 |
| Business Practice Address: | 811 N Catalina Ave 200 Redondo Beach, CA - 902772133 |
| Business Phone Number: | 3107981914 |
| Business Fax Number: | 3103762748 |
| Mailing Address: | Po Box 3531, REDONDO BEACH |
| State: | CA |
| Postal Code: | 902771531 |
| Phone Number: | 3107981914 |
| Fax Number: | 3103762748 |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2355S0801X |
| License Number: | 100786 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Specialist/Technologist |
| Taxonomy Specialization: | Speech-Language Assistant |
| Taxonomy Definition: | |