Provider Demographics
NPI:1568524346
Name:KRAFT, DOLORES (PHD)
Entity Type:Individual
Prefix:DR
First Name:DOLORES
Middle Name:
Last Name:KRAFT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16775 ADDISON RD STE 120
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-5600
Mailing Address - Country:US
Mailing Address - Phone:469-385-7888
Mailing Address - Fax:469-385-7889
Practice Address - Street 1:16775 ADDISON RD STE 120
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-5600
Practice Address - Country:US
Practice Address - Phone:469-385-7888
Practice Address - Fax:469-385-7889
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5062103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical