Provider Demographics
NPI:1750443636
Name:MAULE KRONMILLER, ALISON CLAIRE (PHD LP)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:CLAIRE
Last Name:MAULE KRONMILLER
Suffix:
Gender:F
Credentials:PHD LP
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Mailing Address - Street 1:1678 SELBY AVE
Mailing Address - Street 2:MERRIAM PARK PROFESSIONAL OFFICES
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-6149
Mailing Address - Country:US
Mailing Address - Phone:651-647-5722
Mailing Address - Fax:651-647-5723
Practice Address - Street 1:1678 SELBY AVE
Practice Address - Street 2:MERRIAM PARK PROFESSIONAL OFFICES
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-6149
Practice Address - Country:US
Practice Address - Phone:651-647-5722
Practice Address - Fax:651-647-5723
Is Sole Proprietor?:No
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNLP3071103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
01H83MAOtherBCBS
6126079OtherUBH
107019OtherUCARE
6126079OtherMEDICA