| Kathleen J. Cramer | |
|
967 Spaulding Ave Se Suite E Ada MI 49301-3700 | |
| (616) 464-4324 | |
| (616) 949-5336 |
| Full Name | Kathleen J. Cramer |
|---|---|
| Speciality | Psychologist |
| Location | 967 Spaulding Ave Se, Ada, Michigan |
| Authorized Official Name and Position | Kathleen Jandernoa Cramer (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6164643424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen J. Cramer 967 Spaulding Ave Se Suite E Ada MI 49301-3700 Ph: (616) 464-4324 | Kathleen J. Cramer 967 Spaulding Ave Se Suite E Ada MI 49301-3700 Ph: (616) 464-4324 |
| NPI Number | 1194088377 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 11/23/2015 |
| Medicare PECOS PAC ID | 8628372232 |
|---|---|
| Medicare Enrollment ID | O20160202001077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194088377 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301013342 (Michigan) | Primary |
| Provider Name | Kathleen Jandernoa Cramer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1083765812 PECOS PAC ID: 5496059081 Enrollment ID: I20160208000054 |
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