Doctor Name: | MICHELE KRUEGER |
NPI Number: | 1134532682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 4926 |
Business Practice Address: | 42101 Griswold Rd Elyria, OH - 440352117 |
Business Phone Number: | 4402848250 |
Business Fax Number: | |
Mailing Address: | 42101 Griswold Rd, ELYRIA |
State: | OH |
Postal Code: | 440352117 |
Phone Number: | 4402848250 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2014 |
NPI Last Update Date: | 06/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 4926 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |