Provider Demographics
NPI:1326452400
Name:PAUL KRAMER, MFT, A PROFESSIONAL CORP
Entity Type:Organization
Organization Name:PAUL KRAMER, MFT, A PROFESSIONAL CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:SR
Authorized Official - Credentials:MFT
Authorized Official - Phone:925-270-5162
Mailing Address - Street 1:1148 ALPINE RD
Mailing Address - Street 2:SUITE #205
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4495
Mailing Address - Country:US
Mailing Address - Phone:925-270-5162
Mailing Address - Fax:
Practice Address - Street 1:1148 ALPINE RD
Practice Address - Street 2:SUITE #205
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4495
Practice Address - Country:US
Practice Address - Phone:925-270-5162
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC46231251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health