Provider Demographics
NPI:1174970800
Name:PAMELA G. KRONES, PH.D.
Entity type:Organization
Organization Name:PAMELA G. KRONES, PH.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:G
Authorized Official - Last Name:KRONES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-740-8750
Mailing Address - Street 1:138 BRYAN CAVE RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119-4402
Mailing Address - Country:US
Mailing Address - Phone:512-740-8750
Mailing Address - Fax:
Practice Address - Street 1:138 BRYAN CAVE RD
Practice Address - Street 2:
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-4402
Practice Address - Country:US
Practice Address - Phone:512-740-8750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 8905103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty