Individual ProviderCarol Katherine KrusemarkSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1 Bowdoin Sq Fl 11, Boston, MA 02114-2919(617) 726-0220PECOS EnrollmentBased on the most recent information from CMS, provider Carol Katherine Krusemark does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1588864391Provider TypeIndividualFull NameKrusemark, Carol KatherineTitleMs.CredentialM.A., CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date7/19/2007Last Updated3/8/2011Contact InformationPractice LocationPractice Address1 Bowdoin Sq Fl 11, Boston, MA 02114-2919Phone(617) 726-0220Fax(617) 643-2229Mailing LocationMailing Address1 Earl Rd, Bedford, MA 01730-1353Phone(617) 726-0220Fax(617) 643-2229Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense7801MassachusettsCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense11989California