Healthcare Provider Details

I. General information

NPI: 1184217556
Provider Name (Legal Business Name): EMILY KRAMER BA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 07/09/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 E LOCUST ST
EPHRATA PA
17522-2717
US

IV. Provider business mailing address

105 E LOCUST ST
EPHRATA PA
17522-2717
US

V. Phone/Fax

Practice location:
  • Phone: 717-617-2706
  • Fax:
Mailing address:
  • Phone: 717-617-2706
  • Fax: 717-610-2701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: