Provider Demographics
NPI:1013727171
Name:KROMAH, SIASIA
Entity type:Individual
Prefix:
First Name:SIASIA
Middle Name:
Last Name:KROMAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 APPOQUINIMINK CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-6826
Mailing Address - Country:US
Mailing Address - Phone:267-296-0018
Mailing Address - Fax:
Practice Address - Street 1:104 APPOQUINIMINK CT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-6826
Practice Address - Country:US
Practice Address - Phone:267-296-0018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities