Healthcare Provider Details

I. General information

NPI: 1417871021
Provider Name (Legal Business Name): DYANNA CRAMER
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 W UWCHLAN AVE
DOWNINGTOWN PA
19335-3319
US

IV. Provider business mailing address

40 BARREN RD
MEDIA PA
19063-4504
US

V. Phone/Fax

Practice location:
  • Phone: 610-269-2661
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: