Provider Demographics
NPI:1164749214
Name:KRAMER, HEATHER (LMHC)
Entity Type:Individual
Prefix:MS
First Name:HEATHER
Middle Name:
Last Name:KRAMER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:ELLEN
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:1860 52ND ST
Mailing Address - Street 2:#1I
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-1629
Mailing Address - Country:US
Mailing Address - Phone:718-236-5149
Mailing Address - Fax:
Practice Address - Street 1:1860 52ND ST
Practice Address - Street 2:#1I
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-1629
Practice Address - Country:US
Practice Address - Phone:718-236-5149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004461101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health