Provider Demographics
NPI:1619695988
Name:CRONKHITE, HANNAH RANAE (MA)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:RANAE
Last Name:CRONKHITE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 ENTERPRISE DR
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:IN
Mailing Address - Zip Code:46580-1204
Mailing Address - Country:US
Mailing Address - Phone:574-268-0448
Mailing Address - Fax:574-549-9039
Practice Address - Street 1:105 ENTERPRISE DR
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:IN
Practice Address - Zip Code:46580-1204
Practice Address - Country:US
Practice Address - Phone:574-268-0448
Practice Address - Fax:574-549-9039
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health