1851468698 NPI number — MR. STUART P KRANSON MA

Table of content: MR. STUART P KRANSON MA (NPI 1851468698)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851468698 NPI number — MR. STUART P KRANSON MA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRANSON
Provider First Name:
STUART
Provider Middle Name:
P
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
MA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1851468698
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/12/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6333 FORGE TURN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BENSALEM
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19020-1901
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-891-1843
Provider Business Mailing Address Fax Number:
215-891-0539

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
928 JAYMORE ROAD
Provider Second Line Business Practice Location Address:
SUITE A120
Provider Business Practice Location Address City Name:
SOUTHAMPTON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18966
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-322-3717
Provider Business Practice Location Address Fax Number:
215-891-0539
Provider Enumeration Date:
11/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  PS000835L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: PS000835L . This is a "PSYCHOLOGIST LICENSE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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