Individual
SHANNON MARIE CRONIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7979 N SHADELAND AVE STE 310, INDIANAPOLIS, IN 46250-2042
(317) 621-3891
(317) 621-3893
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005854A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300088376
—
IN
Enumeration date
02/07/2022
Last updated
12/26/2024
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