Provider Demographics
NPI:1194825844
Name:KRONNER, HENRY W (PHD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:W
Last Name:KRONNER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2881 E OAKLAND PARK BLVD STE 118
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1813
Mailing Address - Country:US
Mailing Address - Phone:773-456-1957
Mailing Address - Fax:
Practice Address - Street 1:2881 E OAKLAND PARK BLVD STE 118
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33306-1813
Practice Address - Country:US
Practice Address - Phone:773-456-1957
Practice Address - Fax:630-855-5890
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-23
Last Update Date:2022-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149-0083431041C0700X
FLSW156041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical