Provider Demographics
NPI:1851468698
Name:KRANSON, STUART P (MA)
Entity type:Individual
Prefix:MR
First Name:STUART
Middle Name:P
Last Name:KRANSON
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6333 FORGE TURN
Mailing Address - Street 2:
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-1901
Mailing Address - Country:US
Mailing Address - Phone:215-891-1843
Mailing Address - Fax:215-891-0539
Practice Address - Street 1:928 JAYMORE ROAD
Practice Address - Street 2:SUITE A120
Practice Address - City:SOUTHAMPTON
Practice Address - State:PA
Practice Address - Zip Code:18966
Practice Address - Country:US
Practice Address - Phone:215-322-3717
Practice Address - Fax:215-891-0539
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2008-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS000835L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPS000835LOtherPSYCHOLOGIST LICENSE