Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
Y | 103G00000X | Clinical Psychologist | 6301002885 | MI |
Y | 103TC0700X | Clinical Psychologist | 6301002885 | MI |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | ||
N | 103TF0000X | Family Psychologist |
NPI | 1568680692 |
---|---|
Provider Name | Dr. Geoffrey Krone |
First Address | Ann Arbor, MI 48103-9056 |
Second Address | Ann Arbor, MI 48103-9056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 25/10/2021 |