Provider Demographics
NPI:1750892394
Name:KRAMER DE COURCEUIL, KARLA YVONNE (PSYD)
Entity type:Individual
Prefix:DR
First Name:KARLA
Middle Name:YVONNE
Last Name:KRAMER DE COURCEUIL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:893 CALLE 13A
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-5280
Mailing Address - Country:US
Mailing Address - Phone:787-922-9247
Mailing Address - Fax:
Practice Address - Street 1:544 CALLE ALDEBARAN
Practice Address - Street 2:EDGEWELL BUILDING
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968
Practice Address - Country:US
Practice Address - Phone:787-675-0663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5470103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical