Provider Demographics
NPI:1326161514
Name:SMITH, ELIZABETH KRAMER (MA PSYCHOLOGICAL)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:KRAMER
Last Name:SMITH
Suffix:
Gender:F
Credentials:MA PSYCHOLOGICAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 KENSINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27403-1730
Mailing Address - Country:US
Mailing Address - Phone:336-574-0450
Mailing Address - Fax:336-574-0451
Practice Address - Street 1:227 KENSINGTON RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-1730
Practice Address - Country:US
Practice Address - Phone:336-574-0450
Practice Address - Fax:336-574-0451
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC853103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral