Ronald A. Craker in Granger - Psychologist

Ronald A. Craker - NPI 1710072459

Ronald A. Craker is a Psychologist in Granger, Indiana. Ronald A. Craker practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Ronald A. Craker is 1710072459. The last update date is 2007-07-08.

Ronald A. Craker's current location address is 53078 County Kerry Dr, Granger, Indiana. You can contact this provider via phone number 5742724099 and fax number 8667517170. The mailing address for Ronald A. Craker is 53078 County Kerry Dr, Granger, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Ronald A. Craker
Address 53078 County Kerry Dr, Granger, Indiana
Phone Number 5742724099
Fax Number 8667517170
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1710072459
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 53078 County Kerry Dr
City Granger
State Indiana (IN)
Post Code 465309400
Phone Number 5742724099
Fax Number 8667517170

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 20040989A
Definition:
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
20040989A IN PSYCHOLOGIST LICENSE

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FAQs about Ronald A. Craker

What is the unique identifier code issued to Ronald A. Craker by the Centers for Medicare & Medicaid Services?

The Ronald A. Craker has been assigned the NPI (National Provider Identifier) 1710072459. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Ronald A. Craker's facilities are geographically located?

The facilities of Ronald A. Craker are physically situated at the following location: 53078 County Kerry Dr, Granger, IN, 465309400.

What is the Ronald A. Craker's area of specialization and corresponding taxonomy classification?

The Ronald A. Craker's specialty field is Psychologist, and it falls under the taxonomy code 103T00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1710072459 to Ronald A. Craker?

The Centers for Medicare & Medicaid Services originally issued the 1710072459 to Ronald A. Craker on 2006-10-04.

When was the information regarding Ronald A. Craker most recently updated?

The details pertaining to the Ronald A. Craker, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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