Healthcare Provider Details

I. General information

NPI: 1033035951
Provider Name (Legal Business Name): ELIZABETH ANN KREMER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 W 23RD ST
ERIE PA
16502-2017
US

IV. Provider business mailing address

1836 W 23RD ST
ERIE PA
16502-2017
US

V. Phone/Fax

Practice location:
  • Phone: 814-218-2959
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: