Provider Demographics
NPI:1366754210
Name:LINDA KRAMPER, PSYD PC
Entity type:Organization
Organization Name:LINDA KRAMPER, PSYD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAMPER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:815-467-8847
Mailing Address - Street 1:24829 S TRYON ST
Mailing Address - Street 2:
Mailing Address - City:CHANNAHON
Mailing Address - State:IL
Mailing Address - Zip Code:60410-5294
Mailing Address - Country:US
Mailing Address - Phone:815-467-8847
Mailing Address - Fax:
Practice Address - Street 1:24829 S TRYON ST
Practice Address - Street 2:
Practice Address - City:CHANNAHON
Practice Address - State:IL
Practice Address - Zip Code:60410-5294
Practice Address - Country:US
Practice Address - Phone:815-467-8847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty