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NPI Code Detail

MEDICARE: MRS. TARA CRAMMER MA, MFT

MEDICARE: MRS. TARA CRAMMER MA, MFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist01225NV

General Provider Information

NPI Number : 1174763700
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TARA CRAMMER MA, MFT
Provider Business Mailing Address
First Line : 5900 W ROCHELLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3304
Country : US
Telephone Number : 702-364-1111
Fax Number :
Provider Business Practice Location Address
First Line : 5900 W ROCHELLE AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89103-3304
Country : US
Telephone Number : 702-364-1111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2009
Last Update Date : 04/17/2014

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Directions to “ MRS. TARA CRAMMER MA, MFT” Practice Location

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