Provider Demographics
NPI:1962725846
Name:KRAMER-MARTIN, JENNIFER DAWN (PC,CAC)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:DAWN
Last Name:KRAMER-MARTIN
Suffix:
Gender:F
Credentials:PC,CAC
Other - Prefix:MS
Other - First Name:JENNIFER
Other - Middle Name:D
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PC, CAC
Mailing Address - Street 1:24100 CHAGRIN BLVD
Mailing Address - Street 2:#400
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5535
Mailing Address - Country:US
Mailing Address - Phone:216-831-1040
Mailing Address - Fax:216-831-2667
Practice Address - Street 1:24100 CHAGRIN BLVD
Practice Address - Street 2:#400
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5535
Practice Address - Country:US
Practice Address - Phone:216-831-1040
Practice Address - Fax:216-831-2667
Is Sole Proprietor?:No
Enumeration Date:2010-03-08
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0500187101YM0800X
OHE.0500187101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health