Provider Demographics
NPI:1073405619
Name:EMPOWER VOCAL WELLNESS SPEECH PATHOLOGY, PLLC
Entity type:Organization
Organization Name:EMPOWER VOCAL WELLNESS SPEECH PATHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:KRUSEMARK
Authorized Official - Suffix:
Authorized Official - Credentials:SLPD, CCC-SLP
Authorized Official - Phone:707-365-9273
Mailing Address - Street 1:22 SHERWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:SARATOGA SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12866-6145
Mailing Address - Country:US
Mailing Address - Phone:707-365-9273
Mailing Address - Fax:
Practice Address - Street 1:22 SHERWOOD TRL
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-6145
Practice Address - Country:US
Practice Address - Phone:707-365-9273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech