Provider Demographics
NPI:1811344070
Name:CROMAS, COURTNEY SHAE (MA)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:SHAE
Last Name:CROMAS
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 1:3900 S MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:IN
Mailing Address - Zip Code:47362-1307
Mailing Address - Country:US
Mailing Address - Phone:765-388-2671
Mailing Address - Fax:
Practice Address - Street 1:3900 S MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:IN
Practice Address - Zip Code:47362-1307
Practice Address - Country:US
Practice Address - Phone:765-388-2671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-18
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor