Provider Demographics
NPI:1376378703
Name:KRAHL, SKYLER (BS, MS, MHC-LP)
Entity type:Individual
Prefix:
First Name:SKYLER
Middle Name:
Last Name:KRAHL
Suffix:
Gender:F
Credentials:BS, MS, MHC-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 HOMELAND RD
Mailing Address - Street 2:
Mailing Address - City:NORTH SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13212-2754
Mailing Address - Country:US
Mailing Address - Phone:315-956-0401
Mailing Address - Fax:
Practice Address - Street 1:1683 STATE ROUTE 49
Practice Address - Street 2:
Practice Address - City:CONSTANTIA
Practice Address - State:NY
Practice Address - Zip Code:13044-2602
Practice Address - Country:US
Practice Address - Phone:315-668-4030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP130630101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health