Most Relevant Information
Provider Data
| NPI Number: | 1003173451 |
| Provider Name: | MARIA S. KRUSEMARK |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 8079 |
Most Important Dates
| Enumeration Date: | 04/23/2012 |
| Last Updated: | 04/23/2012 |
Provider Practice Location
55 COOPER ST
AGAWAM
MA
010012149
Practice Location Phone/Fax
| Phone: | 4137868000 |
| Fax: |
Provider Mailing Location
66 MILO PECK LN
WINDSOR
CT
060951807
Provider Mailing Phone/Fax
| Phone: | 9283087671 |
| Fax: |