Individual
ROBERTA ANN KRAMLICH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
528 QUINCY ST, RAPID CITY, SD 57701-3628
(605) 348-5401
(605) 348-7319
Mailing address
PO BOX 288, RAPID CITY, SD 57709-0288
(605) 348-5401
(605) 348-7319
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
216
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6550980
—
SD
Enumeration date
09/21/2005
Last updated
07/08/2007
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