Provider Demographics
NPI:1558080606
Name:CRANEY, RAQUEL (PHD)
Entity type:Individual
Prefix:DR
First Name:RAQUEL
Middle Name:
Last Name:CRANEY
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3130 TROOST AVE STE 202
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-1844
Mailing Address - Country:US
Mailing Address - Phone:913-214-6218
Mailing Address - Fax:
Practice Address - Street 1:3130 TROOST AVE STE 202
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-1844
Practice Address - Country:US
Practice Address - Phone:913-214-6218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2025-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2023040330103TB0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral