Doctor Name: | ARIEL KRAKOWER |
NPI Number: | 1265668305 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 668 Quinan St Pinole, CA - 945641621 |
Business Phone Number: | 5107417286 |
Business Fax Number: | 5107245499 |
Mailing Address: | 668 Quinan St, PINOLE |
State: | CA |
Postal Code: | 945641621 |
Phone Number: | 5107417286 |
Fax Number: | 5107245499 |
NPI Enumeration Date: | 06/03/2009 |
NPI Last Update Date: | 06/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TF0000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Family |
Taxonomy Definition: |