Provider Demographics
NPI:1033240155
Name:WERNER-CROHN, MINDY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:MINDY
Middle Name:ANN
Last Name:WERNER-CROHN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2930 DOMINGO AVE # 218
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2454
Mailing Address - Country:US
Mailing Address - Phone:818-756-0050
Mailing Address - Fax:844-756-0054
Practice Address - Street 1:2930 DOMINGO AVE # 218
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2454
Practice Address - Country:US
Practice Address - Phone:818-756-0050
Practice Address - Fax:844-756-0054
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2021-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG538272084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry