Individual
DR. PAUL R KRASNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
102 COMMONWEALTH CT, STE H, CARY, NC 27511-4400
(919) 467-2876
(919) 467-2928
Mailing address
102 COMMONWEALTH CT STE H, CARY, NC 27511-4437
(919) 467-2876
(919) 467-2928
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
751
NC
103TB0200X
Cognitive & Behavioral Psychologist
Primary
751
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0267G
BLUECROSS GROUP PROVIDER
NC
01
—
04057
BLUECROSS PROVIDER NUMBER
NC
Enumeration date
01/08/2007
Last updated
02/08/2010
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