Individual
WILLIAM G KRONENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1002 WISHARD BLVD STE 4110, INDIANAPOLIS, IN 46202-2872
(317) 963-7300
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 962-3834
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040811A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100416020
—
IN
01
—
260023756
RAIL ROAD MEDICARE
IN
Enumeration date
05/20/2006
Last updated
11/30/2020
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