Valerie Ann Kroesen, M.S. CCC-SLP NBTC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4470 Issued in SC

Practice address

1035 Sweetwater Dr
Johns Island, SC 29455-4707

Phone

(843) 559-4588

Fax

(843) 899-8890

NPI assigned

May 25, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243209600000",
    "number": "1700011483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SWEETWATER DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554707",
            "telephone_number": "843-559-4588",
            "fax_number": "843-899-8890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SWEETWATER DR",
            "city": "JOHNS ISLAND",
            "state": "SC",
            "postal_code": "294554707",
            "telephone_number": "843-559-4588",
            "fax_number": "843-899-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROESEN",
        "first_name": "VALERIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP NBTC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-25",
        "last_updated": "2009-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "4470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Johns Island, SC
• Providers in Johns Island, SC by specialty
• Speech-Language Pathologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.