Provider Demographics
NPI:1619180486
Name:KRAMER, ANNE J (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:J
Last Name:KRAMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:ANNE
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:609 S GOLD ST
Mailing Address - Street 2:
Mailing Address - City:YREKA
Mailing Address - State:CA
Mailing Address - Zip Code:96097-3110
Mailing Address - Country:US
Mailing Address - Phone:530-842-8432
Mailing Address - Fax:530-842-8435
Practice Address - Street 1:609 S GOLD ST
Practice Address - Street 2:
Practice Address - City:YREKA
Practice Address - State:CA
Practice Address - Zip Code:96097
Practice Address - Country:US
Practice Address - Phone:530-842-8432
Practice Address - Fax:530-842-8435
Is Sole Proprietor?:No
Enumeration Date:2007-05-08
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA160212696103TS0200X
CAPSY16463103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool