Provider Demographics
NPI:1376731463
Name:KRAMER, SARALEE ERWIN (MFT)
Entity Type:Individual
Prefix:
First Name:SARALEE
Middle Name:ERWIN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 420484
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92142-0484
Mailing Address - Country:US
Mailing Address - Phone:858-353-5510
Mailing Address - Fax:800-401-1314
Practice Address - Street 1:8950 VILLA LA JOLLA DR
Practice Address - Street 2:SUITE C-113
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1714
Practice Address - Country:US
Practice Address - Phone:858-353-5510
Practice Address - Fax:800-401-1314
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40282106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist