Individual
DR. ANN MICHELE CRAUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
4219 E 410 N, RIGBY, ID 83442-5518
(208) 745-0285
Mailing address
4219 E 410 N, RIGBY, ID 83442
(208) 745-0285
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY-202650
ID
103T00000X
Psychologist
PSY1097
CO
103T00000X
Psychologist
Primary
PY0371
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-0574867
TAX TD
NV
Enumeration date
12/15/2006
Last updated
03/27/2013
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