Provider Demographics
NPI:1609188028
Name:HOPE KRASNER
Entity Type:Organization
Organization Name:HOPE KRASNER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD & ADOLESCENT THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:A
Authorized Official - Last Name:KRASNER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:505-363-0250
Mailing Address - Street 1:5345 WYOMING BLVD NE
Mailing Address - Street 2:STE. 101
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3148
Mailing Address - Country:US
Mailing Address - Phone:505-363-0250
Mailing Address - Fax:
Practice Address - Street 1:5345 WYOMING BLVD NE
Practice Address - Street 2:STE. 101
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3148
Practice Address - Country:US
Practice Address - Phone:505-363-0250
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM1136103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty