Provider Demographics
NPI:1497962625
Name:CRON, KERRY A (MS CCC SLP)
Entity Type:Individual
Prefix:MS
First Name:KERRY
Middle Name:A
Last Name:CRON
Suffix:
Gender:F
Credentials:MS CCC SLP
Other - Prefix:
Other - First Name:KERRY
Other - Middle Name:A
Other - Last Name:ALEXANDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:22 RIVERVIEW DR
Mailing Address - Street 2:C/O BRIAN'S T.E.A.M. LLC
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-3115
Mailing Address - Country:US
Mailing Address - Phone:973-628-0400
Mailing Address - Fax:
Practice Address - Street 1:22 RIVERVIEW DR
Practice Address - Street 2:C/O BRIAN'S T.E.A.M. LLC
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-3115
Practice Address - Country:US
Practice Address - Phone:973-628-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ414S00470500235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist