| Shelley Chernoff Kramer, Ph.d., Inc., Clinical Psychology | |
|
2181 S El Camino Real Ste 305 Oceanside CA 92054-6288 | |
| (760) 966-1286 | |
| (760) 966-1911 |
| Full Name | Shelley Chernoff Kramer, Ph.d., Inc., Clinical Psychology |
|---|---|
| Speciality | Psychologist |
| Location | 2181 S El Camino Real, Oceanside, California |
| Authorized Official Name and Position | Shelley Kramer (PSYCHOLOGIST) |
| Authorized Official Contact | 7609661286 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelley Chernoff Kramer, Ph.d., Inc., Clinical Psychology 2181 S El Camino Real Suite 305 Oceanside CA 92054-6220 Ph: (760) 966-1286 | Shelley Chernoff Kramer, Ph.d., Inc., Clinical Psychology 2181 S El Camino Real Ste 305 Oceanside CA 92054-6288 Ph: (760) 966-1286 |
| NPI Number | 1174643035 |
|---|---|
| Provider Enumeration Date | 04/01/2007 |
| Last Update Date | 07/13/2012 |
| Medicare PECOS PAC ID | 8729244991 |
|---|---|
| Medicare Enrollment ID | O20120717000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174643035 | NPI | - | NPPES |
| CP4219A | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY4219 (California) | Primary |
| Provider Name | Shelley B Kramer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124149224 PECOS PAC ID: 9436315603 Enrollment ID: I20120717000336 |
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