Individual
DR. REBECCA ANN KRAATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
118 SABINE ST, PORTLAND, TX 78374-1454
(361) 643-6213
(361) 643-1263
Mailing address
118 SABINE ST, PORTLAND, TX 78374-1454
(361) 643-6213
(361) 643-1263
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33490
PROVISIONAL LICENSE
TX
01
—
51382
NATL. REGISTER PSYCHOLOGY
—
Enumeration date
02/06/2007
Last updated
09/18/2007
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