Provider Demographics
NPI:1053591743
Name:CRONIN, KAREN JOAN (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:JOAN
Last Name:CRONIN
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 LAVOIE DR
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03290-5521
Mailing Address - Country:US
Mailing Address - Phone:978-239-5520
Mailing Address - Fax:
Practice Address - Street 1:28 LAVOIE DR
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:NH
Practice Address - Zip Code:03290-5521
Practice Address - Country:US
Practice Address - Phone:978-239-5520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2229235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist