Provider Demographics
NPI:1073604203
Name:KRAMER, JULIA ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ANN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14768 COOLVILLE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:OH
Mailing Address - Zip Code:45701-9683
Mailing Address - Country:US
Mailing Address - Phone:740-594-5154
Mailing Address - Fax:740-592-3600
Practice Address - Street 1:3 W STIMSON AVE
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:OH
Practice Address - Zip Code:45701-2679
Practice Address - Country:US
Practice Address - Phone:740-592-3600
Practice Address - Fax:740-592-3600
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5199103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling