Healthcare Provider Details

I. General information

NPI: 1033035985
Provider Name (Legal Business Name): SHANDREY KRONE AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26431 CROWN VALLEY PKWY STE 260
MISSION VIEJO CA
92691-7201
US

IV. Provider business mailing address

129 S ROYAL PL
ANAHEIM CA
92806-3238
US

V. Phone/Fax

Practice location:
  • Phone: 949-346-1672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number156984
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: