Basic Information
| Provider Information | |||||||||
| NPI: | 1144694084 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CRANEY | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | J | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PH.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 30207 FRANKFORD SCHOOL RD | ||||||||
| Address2: | |||||||||
| City: | FRANKFORD | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199452616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027323800 | ||||||||
| FaxNumber: | 3027326016 | ||||||||
| Practice Location | |||||||||
| Address1: | 30207 FRANKFORD SCHOOL RD | ||||||||
| Address2: | |||||||||
| City: | FRANKFORD | ||||||||
| State: | DE | ||||||||
| PostalCode: | 199452616 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3027323800 | ||||||||
| FaxNumber: | 3027326016 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/16/2015 | ||||||||
| LastUpdateDate: | 11/16/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TS0200X | 82013 | DE | Y | Behavioral Health & Social Service Providers | Psychologist | School |
No ID Information.