MEDICARE: DR. GEORGE ALBERT KRAUS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	PSY 24617	CA
2	103TC0700X	Clinical Psychologist	5613	OH
3	103TC0700X	Clinical Psychologist	PY12253	FL

General Provider Information

NPI Number	:	1184644163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GEORGE ALBERT KRAUS PH.D.

Provider Business Mailing Address
First Line	:	1022 ANN AVE
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32159-2400
Country	:	US
Telephone Number	:	925-238-6466
Fax Number	:	925-407-2902

Provider Business Practice Location Address
First Line	:	1022 ANN AVE
Second Line	:
City	:	LADY LAKE
State	:	FL
Zip	:	32159-2400
Country	:	US
Telephone Number	:	925-238-6466
Fax Number	:	925-407-2902

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2006
Last Update Date	:	09/03/2025

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