Healthcare Provider Details

I. General information

NPI: 1972767499
Provider Name (Legal Business Name): CHRISTINA A KRAFT PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 09/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 N MAIN ST SUITE 408
AKRON OH
44310-3110
US

IV. Provider business mailing address

4807 ROCKSIDE RD STE 300
INDEPENDENCE OH
44131-6802
US

V. Phone/Fax

Practice location:
  • Phone: 330-379-8190
  • Fax: 330-379-8191
Mailing address:
  • Phone: 216-503-9489
  • Fax: 860-783-5590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP6454
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: