Basic Information
Provider Information
NPI: 1891343489
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CRAMER
FirstName: MONICA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherOrganizationType:  
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OtherCredential:  
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Mailing Information
Address1: 6700 WASHINGTON AVE S
Address2:  
City: EDEN PRAIRIE
State: MN
PostalCode: 553443405
CountryCode: US
TelephoneNumber: 8003328860
FaxNumber:  
Practice Location
Address1: 3900 MECHANICSVILLE RD STE 102
Address2:  
City: DOYLESTOWN
State: PA
PostalCode: 189021669
CountryCode: US
TelephoneNumber: 2153481581
FaxNumber: 2157955499
Other Information
ProviderEnumerationDate: 08/28/2019
LastUpdateDate: 08/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237600000X  N Speech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter 
237700000X  N Speech, Language and Hearing Service ProvidersHearing Instrument Specialist 
231H00000X  Y Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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