Provider Demographics
NPI:1649671371
Name:KRAMER, CAROL CHRISTINE (NCSP, ABSNP)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:CHRISTINE
Last Name:KRAMER
Suffix:
Gender:F
Credentials:NCSP, ABSNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3204 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:GILLETTE
Mailing Address - State:WY
Mailing Address - Zip Code:82718-8225
Mailing Address - Country:US
Mailing Address - Phone:307-680-2767
Mailing Address - Fax:
Practice Address - Street 1:3204 E 2ND ST
Practice Address - Street 2:
Practice Address - City:GILLETTE
Practice Address - State:WY
Practice Address - Zip Code:82718-8225
Practice Address - Country:US
Practice Address - Phone:307-680-2767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYCSSP02103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool