MEDICARE: DR. JENNIFER RENEE CROMER PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103G00000X	Clinical Neuropsychologist

General Provider Information

NPI Number	:	1619296951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER RENEE CROMER PH.D.

Provider Business Mailing Address
First Line	:	2150 CORBIN AVE
Second Line	:
City	:	NEW BRITAIN
State	:	CT
Zip	:	06053-2266
Country	:	US
Telephone Number	:	860-827-4751
Fax Number	:

Provider Business Practice Location Address
First Line	:	4310 LONDONDERRY RD STE 100
Second Line	:
City	:	HARRISBURG
State	:	PA
Zip	:	17109-5333
Country	:	US
Telephone Number	:	717-791-2620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2010
Last Update Date	:	07/19/2021

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