Doctor Name: | MS. LORAINE ELIZABETH KRUESSEL |
NPI Number: | 1548478340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC-SLP |
License Number: | 8790 |
Business Practice Address: | 4353 Tuller Rd Suite D Dublin, OH - 430175071 |
Business Phone Number: | 6147647900 |
Business Fax Number: | 6147640715 |
Mailing Address: | 202 Quail Haven Dr, COLUMBUS |
State: | OH |
Postal Code: | 432354649 |
Phone Number: | 6147366820 |
Fax Number: | |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8790 |
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 |