Provider Demographics
NPI:1346759727
Name:KROENER, LORI ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:ANN
Last Name:KROENER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1020 INDEPENDENCE BLVD STE 204
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5542
Mailing Address - Country:US
Mailing Address - Phone:757-640-1882
Mailing Address - Fax:
Practice Address - Street 1:1020 INDEPENDENCE BLVD STE 204
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-5542
Practice Address - Country:US
Practice Address - Phone:757-640-1882
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810002838103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist