Healthcare Provider Details

I. General information

NPI: 1932380946
Provider Name (Legal Business Name): NADINE KRAMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 11/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 ELM ST
WALTHAM MA
02453-5356
US

IV. Provider business mailing address

1040 WALTHAM ST
LEXINGTON MA
02421-8033
US

V. Phone/Fax

Practice location:
  • Phone: 781-894-8440
  • Fax: 781-894-1202
Mailing address:
  • Phone: 781-862-3600
  • Fax: 781-863-5904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3657
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: