Healthcare Provider Details

I. General information

NPI: 1124868161
Provider Name (Legal Business Name): ALLISON MAE KRASNER PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 WASHINGTON ST
HARTFORD CT
06106-3322
US

IV. Provider business mailing address

1890 N REVERE CT. MAIL STOP F546
AURORA CO
80045
US

V. Phone/Fax

Practice location:
  • Phone: 774-254-6631
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number5230
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: