Doctor Name: | MRS. JULIANNE M KRAUT |
NPI Number: | 1366588089 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY D |
License Number: | |
Business Practice Address: | 4180 Rt 83 #10 Long Grove, IL - 60047 |
Business Phone Number: | 8478211450 |
Business Fax Number: | 8475509963 |
Mailing Address: | 4180 Rt 83 #10, LONG GROVE |
State: | IL |
Postal Code: | 60047 |
Phone Number: | 8478211450 |
Fax Number: | 8475509963 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |