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Individual
MINDY E KRONENBERG
Active
Individual
MINDY E KRONENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
971
LA
103TC0700X
Clinical Psychologist
2974
TN
103TC2200X
Clinical Child & Adolescent Psychologist
2974
TN
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
971
LA
Other
Enumeration date
07/25/2006
Last updated
09/28/2010
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