| Thomas D Kraft Phd Inc | |
|
280 N Park Avenue Suite 207 Warren OH 44481-1109 | |
| (330) 392-9216 | |
| Not Available |
| Full Name | Thomas D Kraft Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 280 N Park Avenue, Warren, Ohio |
| Authorized Official Name and Position | Thomas Dillon Kraft (PRESIDENT/CLINICAL DIRECTOR) |
| Authorized Official Contact | 3303725883 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas D Kraft Phd Inc 1185 Millikin Place Ne Warren OH 44483-4447 Ph: (330) 372-5883 | Thomas D Kraft Phd Inc 280 N Park Avenue Suite 207 Warren OH 44481-1109 Ph: (330) 392-9216 |
| NPI Number | 1205934585 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205934585 | NPI | - | NPPES |
| 0329639 | Medicaid | OH | |
| 00692688000 | Other | OH | WORKERS COMP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2511 (Ohio) | Primary |
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