Doctor Name: | REBECCA ALISON CRONK |
NPI Number: | 1053322446 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AU.D. |
License Number: | 41YA00034100 |
Business Practice Address: | 250 Brookmere Court Ridgewood, NJ - 07450 |
Business Phone Number: | 2012910550 |
Business Fax Number: | |
Mailing Address: | Po Box 406153, ALTANTA |
State: | GA |
Postal Code: | 303841976 |
Phone Number: | 2012910550 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 01/22/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 231HA2500X |
License Number: | 41YA00034100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Audiologist |
Taxonomy Specialization: | Assistive Technology Supplier |
Taxonomy Definition: |