Provider Demographics
NPI:1245641059
Name:KRAMER, CAROL ANN (PHD)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 MARKET ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-1929
Mailing Address - Country:US
Mailing Address - Phone:530-241-9276
Mailing Address - Fax:530-241-0114
Practice Address - Street 1:1933 MARKET ST
Practice Address - Street 2:SUITE C
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1929
Practice Address - Country:US
Practice Address - Phone:530-241-9276
Practice Address - Fax:530-241-0114
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY20583103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical