MEDICARE: MCRON ASSOCIATES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	103TA0700X	Adult Development & Aging Psychologist
2	251S00000X	Community/Behavioral Health Agency
3	101Y00000X	Counselor

General Provider Information

NPI Number	:	1568331692
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCRON ASSOCIATES

Provider Business Mailing Address
First Line	:	5540 MAPLE CLUSTER CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7195
Country	:	US
Telephone Number	:	757-472-3200
Fax Number	:	757-497-3785

Provider Business Practice Location Address
First Line	:	5540 MAPLE CLUSTER CT
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-7195
Country	:	US
Telephone Number	:	757-472-3200
Fax Number	:	757-497-3785

Authorized Official
Title or Position	:	CEO
Name	:	OKO OKEBULU NWOGBURU
Credential	:
Telephone Number	:	757-472-3200

Provider Enumeration Date	:	11/05/2025
Last Update Date	:	11/05/2025

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Directions to “MCRON ASSOCIATES ” Practice Location

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