Provider Demographics
NPI:1811102247
Name:KRAMER, DONALD JOSEPH (PHD CLINICAL PSYCHOL)
Entity type:Individual
Prefix:
First Name:DONALD
Middle Name:JOSEPH
Last Name:KRAMER
Suffix:
Gender:M
Credentials:PHD CLINICAL PSYCHOL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3023 MAGINN DRIVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-5833
Mailing Address - Country:US
Mailing Address - Phone:937-431-3944
Mailing Address - Fax:937-431-3944
Practice Address - Street 1:3023 MAGINN DRIVE
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-5833
Practice Address - Country:US
Practice Address - Phone:937-369-4071
Practice Address - Fax:937-431-3944
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2882103TC0700X
IN20040144103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical