Provider Demographics
NPI:1609379684
Name:SCHRANER, DORIS (MA, PHD, LCPC)
Entity Type:Individual
Prefix:DR
First Name:DORIS
Middle Name:
Last Name:SCHRANER
Suffix:
Gender:F
Credentials:MA, PHD, LCPC
Other - Prefix:DR
Other - First Name:DORIS
Other - Middle Name:
Other - Last Name:SCHRANER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:144 S KINGSTON ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85225-9432
Mailing Address - Country:US
Mailing Address - Phone:702-518-9450
Mailing Address - Fax:
Practice Address - Street 1:144 S KINGSTON ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-9432
Practice Address - Country:US
Practice Address - Phone:702-518-9450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-15
Last Update Date:2021-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP1220-R101YP2500X
AZ20326101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty