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DR. PAUL R KRASNER PHD

Clinical Neuropsychologist

Cary, North Carolina

Provider NPI: 1306994439

Provider Information:
DR. PAUL R KRASNER PHD
Gender: M
Not Sole Proprietor

Practice Location:
102 COMMONWEALTH CT STE H CARY, NC 27511 US
Tel: 919-467-2876  Fax: 919-467-2928

Business Mailing Address:
102 COMMONWEALTH CT STE H  CARY, NC 27511 US
Tel: 919-467-2876  Fax: 919-467-2928

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
NC751
Y103TB0200XBehavioral Health & Social Service Providers
Psychologist
NC751

Other Provider Identifiers:

IssuerNumberStateType
BLUECROSS GROUP PROVIDER0267GNC01
BLUECROSS PROVIDER NUMBER04057NC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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