Doctor Name: | MS. PATTY ANDREA KRASNER |
NPI Number: | 1174602445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 0680000200 |
Business Practice Address: | 94 Main Street Putney, VT - 05346 |
Business Phone Number: | 6033994372 |
Business Fax Number: | |
Mailing Address: | 127 Poocham Road, WESTMORELAND |
State: | NH |
Postal Code: | 03467 |
Phone Number: | 6033994372 |
Fax Number: | |
NPI Enumeration Date: | 11/06/2006 |
NPI Last Update Date: | 08/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TP2701X |
License Number: | 0680000200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Group Psychotherapy |
Taxonomy Definition: |