Healthcare Provider Details

I. General information

NPI: 1891619227
Provider Name (Legal Business Name): KRISTIN CROMWELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10800 CAMPBELL RD
HARRISON OH
45030-8969
US

IV. Provider business mailing address

9251 SUNDERLAND WAY
WEST CHESTER OH
45069-4029
US

V. Phone/Fax

Practice location:
  • Phone: 513-728-8529
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: