Provider Demographics
NPI:1184793119
Name:KRAMER, EILEEN M (PSYD)
Entity type:Individual
Prefix:DR
First Name:EILEEN
Middle Name:M
Last Name:KRAMER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:24681 LA PLAZA
Mailing Address - Street 2:SUITE 370
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92629-2568
Mailing Address - Country:US
Mailing Address - Phone:949-813-8180
Mailing Address - Fax:224-365-3488
Practice Address - Street 1:24681 LA PLZ STE 370
Practice Address - Street 2:
Practice Address - City:DANA POINT
Practice Address - State:CA
Practice Address - Zip Code:92629-2568
Practice Address - Country:US
Practice Address - Phone:949-899-5790
Practice Address - Fax:224-365-3488
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY25548103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical