Kronenberg, Mindy E

Kronenberg, Mindy E is an sole proprietor health care provider with primary practice located at 5583 Murray Rd Ste 208, Memphis TN 38119-3841. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Kronenberg, Mindy E can be contacted via phone (901) 762-4488.

Contact Information

Primary practice address
5583 Murray Rd Ste 208 Memphis TN 38119-3841
Phone: (901) 762-4488
Fax: (901) 762-4497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 971 Louisiana
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 971 Louisiana
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2974 Tennessee
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2974 Tennessee

Profile Details

NPI number 1790707719
LBN Legal business name Kronenberg, Mindy E
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Sep 28th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790707719 NPPES
Louisiana MEDICAID 1068403

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