Provider Demographics
NPI:1285039511
Name:CRAMOND, ALEXANDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:
Last Name:CRAMOND
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9645 GATEWAY DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-2967
Mailing Address - Country:US
Mailing Address - Phone:775-525-1347
Mailing Address - Fax:775-201-9457
Practice Address - Street 1:9645 GATEWAY DR
Practice Address - Street 2:SUITE B
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-2967
Practice Address - Country:US
Practice Address - Phone:775-525-1347
Practice Address - Fax:775-201-9457
Is Sole Proprietor?:No
Enumeration Date:2014-10-29
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPY0723103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV111634Medicare PIN
NVV111633Medicare PIN