Provider Demographics
NPI:1184930109
Name:KRONCKE, ANNA PAIGE (PHD)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:PAIGE
Last Name:KRONCKE
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 1:400 S COLORADO BLVD
Mailing Address - Street 2:SUITE 860
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1253
Mailing Address - Country:US
Mailing Address - Phone:303-322-9000
Mailing Address - Fax:303-322-9001
Practice Address - Street 1:400 S COLORADO BLVD
Practice Address - Street 2:SUITE 860
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-1253
Practice Address - Country:US
Practice Address - Phone:303-322-9000
Practice Address - Fax:303-322-9001
Is Sole Proprietor?:No
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3474103TC0700X
GAPSY003334103TC0700X
GA35533103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool