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Individual

DR. RONALD A. CRAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
53078 COUNTY KERRY DR, GRANGER, IN 46530-9400
(574) 272-4099
(866) 751-7170
Mailing address
53078 COUNTY KERRY DR, GRANGER, IN 46530-9400
(574) 272-4099
(866) 751-7170

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040989A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20040989A
PSYCHOLOGIST LICENSE
IN
Enumeration date
10/04/2006
Last updated
07/08/2007
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