Individual
MR. FREDERICK MILTON KRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
221 BARBOUR ST, CLAYTON, NC 27520-2403
(919) 550-0500
(919) 550-5120
Mailing address
115 MICHAEL WAY, CLAYTON, NC 27520-5507
(919) 550-4880
(919) 359-9071
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1742
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1742
LPA
NC
Enumeration date
08/09/2006
Last updated
07/08/2007
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