Organization
THOMAS D KRAFT PHD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS DILLON KRAFT PHD (PRESIDENT/CLINICAL DIRECTOR)
(330) 372-5883
Entity
Organization
Contact information
Practice address
280 N PARK AVENUE, SUITE 207, WARREN, OH 44481-1109
(330) 392-9216
Mailing address
1185 MILLIKIN PLACE NE, WARREN, OH 44483-4447
(330) 372-5883
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2511
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00692688000
WORKERS COMP
OH
05
—
0329639
—
OH
Enumeration date
09/20/2006
Last updated
08/22/2020
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