MINDY E KRONENBERG PHD NPI 1790707719

NPI Information

NPI: 1790707719
Provider Name: MINDY E KRONENBERG, PHD
Classification: Psychologist - 103TC2200X
Entity Type: Individual

Specialization: Clinical Child & Adolescent

Address:
5583 MURRAY RD
STE 208
MEMPHIS, TN
ZIP 38119
Phone: (901) 762-4488
Get Directions

Mindy E Kronenberg, PHD is a clinical child and adolescent psychologist in Memphis, TN. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. Mindy E Kronenberg, PHD NPI is 1790707719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5583 MURRAY RD
STE 208
MEMPHIS, TN
ZIP 38119-841
Phone: (901) 762-4488
Fax: (901) 762-4497

The enumeration date for this NPI number is 7/25/2006 and was last updated on 9/28/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103T00000X	Psychologist		971	LOUISIANA	No
2	103TC0700X	Psychologist	Clinical	2974	TENNESSEE	No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	2974	TENNESSEE	No
4	103TC2200X	Psychologist	Clinical Child & Adolescent	971	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4H365	MEDICARE PIN	LOUISIANA
2	1068403	MEDICAID	LOUISIANA
3	4H365F669	MEDICARE PIN	LOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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