Provider Demographics
NPI:1225280894
Name:KRAMER, JOHN WILLIAM III (LPC)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:WILLIAM
Last Name:KRAMER
Suffix:III
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2143 MORRIS AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6036
Mailing Address - Country:US
Mailing Address - Phone:908-686-4145
Mailing Address - Fax:908-851-2128
Practice Address - Street 1:2143 MORRIS AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6036
Practice Address - Country:US
Practice Address - Phone:908-686-4145
Practice Address - Fax:908-851-2128
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00195900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical