Doctor Name: | EZRA KREAMER |
NPI Number: | 1629219860 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | LC11082 |
Business Practice Address: | 67 Captain Cushman Rd Morrill, ME - 049525035 |
Business Phone Number: | 2073423655 |
Business Fax Number: | 2073423731 |
Mailing Address: | 67 Captain Cushman Rd, MORRILL |
State: | ME |
Postal Code: | 049525035 |
Phone Number: | 2073423655 |
Fax Number: | 2073423731 |
NPI Enumeration Date: | 03/18/2009 |
NPI Last Update Date: | 11/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC11082 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |