Provider Demographics
NPI:1750836771
Name:CROMER, MEGAN ELLEN
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:ELLEN
Last Name:CROMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 KEELEY AVE
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-5262
Mailing Address - Country:US
Mailing Address - Phone:267-247-6504
Mailing Address - Fax:
Practice Address - Street 1:130 KEELEY AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-5262
Practice Address - Country:US
Practice Address - Phone:267-247-6504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0190671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical