Doctor Name: | DR. ELIZABETH D. KRAFT |
NPI Number: | 1225160682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D. |
License Number: | PSY 4985 |
Business Practice Address: | 412 Emerald Pl Seal Beach, CA - 907406223 |
Business Phone Number: | 5625968478 |
Business Fax Number: | 5624306057 |
Mailing Address: | 108 W. Victoria St., GARDENA |
State: | CA |
Postal Code: | 90248 |
Phone Number: | 5625968478 |
Fax Number: | 5624306057 |
NPI Enumeration Date: | 03/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PSY 4985 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |