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NPI Code Detail

MEDICARE: DR. HEATHER G KRANZ PSY.D, M.ED

MEDICARE: DR. HEATHER G KRANZ PSY.D, M.ED
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
1101Y00000XCounselor
2103TC0700XClinical PsychologistPSY1568SC

General Provider Information

NPI Number : 1992284558
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEATHER G KRANZ PSY.D, M.ED
Provider Business Mailing Address
First Line : 871 LOWCOUNTRY BLVD
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3066
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 871 LOWCOUNTRY BLVD STE 200
Second Line :
City : MOUNT PLEASANT
State : SC
Zip : 29464-3096
Country : US
Telephone Number : 843-501-1099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 03/27/2024

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