MEDICARE: DR. DAVID ARTHUR KRAUSS 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	3191	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	341-536-109-00	OTHER	OH	BUREAU OF WORKERS COMP.

General Provider Information

NPI Number	:	1902987035
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID ARTHUR KRAUSS PH.D.

Provider Business Mailing Address
First Line	:	3260 EUCLID HEIGHTS BLVD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-1859
Country	:	US
Telephone Number	:	216-371-8766
Fax Number	:

Provider Business Practice Location Address
First Line	:	3260 EUCLID HEIGHTS BLVD
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-1859
Country	:	US
Telephone Number	:	216-371-8766
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/09/2007

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