Doctor Name: | MRS. SHELLEY T. KRAFT |
NPI Number: | 1003827064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPA |
License Number: | 1871 |
Business Practice Address: | 312 W Millbrook Rd Suite 109 Raleigh, NC - 276094389 |
Business Phone Number: | 9198459977 |
Business Fax Number: | 9198459761 |
Mailing Address: | 115 Michael Way, CLAYTON |
State: | NC |
Postal Code: | 275205507 |
Phone Number: | 9195504880 |
Fax Number: | 9198459761 |
NPI Enumeration Date: | 08/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |