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Individual

JEFFREY KRONSTADT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
201 PLEASANT HILL RD, CHESTER, NJ 07930-2141
(973) 252-6367
Mailing address
4716 OLD GETTYSBURG RD, LEGAL DEPARTMENT, MECHANICSBURG, PA 17055-4325
(717) 972-1139
(717) 975-9981

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35SI00278500
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0051411
NJ
Enumeration date
10/12/2005
Last updated
03/25/2011
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