Provider Demographics
NPI:1841610532
Name:KRABEC, KARA
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:KRABEC
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16205 SOUTHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44111-2951
Mailing Address - Country:US
Mailing Address - Phone:440-463-7316
Mailing Address - Fax:
Practice Address - Street 1:16205 SOUTHLAND AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44111-2951
Practice Address - Country:US
Practice Address - Phone:440-463-7316
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-21
Last Update Date:2014-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool