Hope A. Krasner | |
5800 Mcleod Rd Ne Ste F Albuquerque NM 87109-2467 | |
(505) 363-0250 | |
Not Available |
Full Name | Hope A. Krasner |
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Speciality | Psychologist |
Location | 5800 Mcleod Rd Ne Ste F, Albuquerque, New Mexico |
Authorized Official Name and Position | Hope Ann Krasner (OWNER / PRACTITIONER) |
Authorized Official Contact | 5053630250 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hope A. Krasner 830 Live Oak Rd Ne Apt B Albuquerque NM 87122-1438 Ph: (505) 363-0250 | Hope A. Krasner 5800 Mcleod Rd Ne Ste F Albuquerque NM 87109-2467 Ph: (505) 363-0250 |
NPI Number | 1760957377 |
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Provider Enumeration Date | 10/10/2018 |
Last Update Date | 02/19/2019 |
Medicare PECOS PAC ID | 6507104494 |
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Medicare Enrollment ID | O20190219003067 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760957377 | NPI | - | NPPES |
95106839 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Hope Ann Krasner |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1548398225 PECOS PAC ID: 9335463009 Enrollment ID: I20150129000691 |
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