Doctor Name: | MR. FREDERICK MILTON KRAFT |
NPI Number: | 1033129291 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPA |
License Number: | 1742 |
Business Practice Address: | 221 Barbour St Clayton, NC - 275202403 |
Business Phone Number: | 9195500500 |
Business Fax Number: | 9195505120 |
Mailing Address: | 115 Michael Way, CLAYTON |
State: | NC |
Postal Code: | 275205507 |
Phone Number: | 9195504880 |
Fax Number: | 9193599071 |
NPI Enumeration Date: | 08/09/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 1742 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |