Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 5199 | OH |
NPI | 1073604203 |
---|---|
Provider Name | Dr. Julia Ann Kramer |
First Address | Athens, OH 45701-9683 |
Second Address | Athens, OH 45701-2679 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |