Healthcare Provider Details

I. General information

NPI: 1215108873
Provider Name (Legal Business Name): DR. ANN CRAMER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 07/03/2024
Certification Date: 07/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10222 W CENTRAL AVE STE 202
WICHITA KS
67212-4613
US

IV. Provider business mailing address

10222 W CENTRAL AVE STE 202
WICHITA KS
67212-4613
US

V. Phone/Fax

Practice location:
  • Phone: 316-773-9525
  • Fax: 316-773-2012
Mailing address:
  • Phone: 316-773-9525
  • Fax: 316-773-2012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1304
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number1304
License Number StateKS

VIII. Authorized Official

Name: DR. DEE ANN CRAMER
Title or Position: DIRECTOR
Credential: PH.D.
Phone: 316-773-9525