Mr. Paul W Cronstrom
Clinical Psychologist
789 N Clare Ave
Harrison
, Michigan 48625-9194
Mr. Paul W Cronstrom
Clinical Psychologist
789 N Clare Ave
Harrison
, Michigan 48625-9194
(989) 539-0158
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About
Features
Specialties
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Mr. Paul W Cronstrom
- Po Box 281
- Harrison, MI
- Zip : 48625-0281
- Phone : (989) 539-0158
Second Address
- Mr. Paul W Cronstrom
- 789 N Clare Ave
- Harrison, MI
- Zip : 48625-9194
- Fax : (989) 539-2153
- Phone : (989) 539-2141
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 6301003291 | MI |
| Y | 103TC0700X | Clinical Psychologist | 6301003291 | MI |
National Provider Identifier
| NPI | 1003906066 |
|---|---|
| Provider Name | Mr. Paul W Cronstrom |
| First Address | Harrison, MI 48625-0281 |
| Second Address | Harrison, MI 48625-9194 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.