Individual
STEVEN RAY KREBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5323 HARRY HINES BLVD, DALLAS, TX 75390-7208
(214) 645-8500
Mailing address
PO BOX 845347, DALLAS, TX 75284-5347
(214) 645-8500
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31116
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
144757501
—
TX
Enumeration date
04/04/2006
Last updated
05/01/2008
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