Provider Demographics
NPI:1609558170
Name:KRIN KRAMER PSYCHOTHERAPY
Entity Type:Organization
Organization Name:KRIN KRAMER PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:414-627-9995
Mailing Address - Street 1:450 CAMPUS DR
Mailing Address - Street 2:
Mailing Address - City:HARTLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53029-2576
Mailing Address - Country:US
Mailing Address - Phone:414-627-9995
Mailing Address - Fax:
Practice Address - Street 1:450 CAMPUS DR APT 504
Practice Address - Street 2:
Practice Address - City:HARTLAND
Practice Address - State:WI
Practice Address - Zip Code:53029-2569
Practice Address - Country:US
Practice Address - Phone:414-627-9995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty