Healthcare Provider Details

I. General information

NPI: 1487126587
Provider Name (Legal Business Name): KELLY ANN CRAMNER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2018
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

560 VAN REED RD STE 301
WYOMISSING PA
19610-1799
US

IV. Provider business mailing address

560 VAN REED RD STE 301
WYOMISSING PA
19610-1799
US

V. Phone/Fax

Practice location:
  • Phone: 610-544-2110
  • Fax:
Mailing address:
  • Phone: 610-544-2110
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC010974
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: