Provider Demographics
NPI:1710177407
Name:CRONISE, JOAN GREGG (PHD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:GREGG
Last Name:CRONISE
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 1:62 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-4397
Mailing Address - Country:US
Mailing Address - Phone:215-348-2118
Mailing Address - Fax:215-348-2118
Practice Address - Street 1:62 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4397
Practice Address - Country:US
Practice Address - Phone:215-348-2118
Practice Address - Fax:215-348-2118
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-28
Last Update Date:2007-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS-005755-L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACR649915OtherMEDICARE PROVIDER NUMBER