Provider Demographics
NPI:1356694863
Name:KRAMER, JEFFERY TODD
Entity type:Individual
Prefix:
First Name:JEFFERY
Middle Name:TODD
Last Name:KRAMER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 S POTOMAC ST
Mailing Address - Street 2:18TH JUDICIAL VETERAN TREATMENT COURT
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112
Mailing Address - Country:US
Mailing Address - Phone:303-550-6403
Mailing Address - Fax:
Practice Address - Street 1:7305 S POTOMAC ST
Practice Address - Street 2:18TH JUDICIAL VETERAN TREATMENT COURT
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:303-550-6403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-22
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst