Eric R Penner Phd in Tucson - Psychologist
Eric R Penner Phd - NPI 1609034479
Eric R Penner Phd is a Psychologist in Tucson, Arizona. Eric R Penner Phd practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Eric R Penner Phd is 1609034479. The last update date is 2008-06-26.
Eric R Penner Phd's current location address is 6737 N Shadow Run Dr, Tucson, Arizona. You can contact this provider via phone number 5202754526 and fax number 5202967410. The mailing address for Eric R Penner Phd is 6737 N Shadow Run Dr, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Eric R Penner Phd |
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Address | 6737 N Shadow Run Dr, Tucson, Arizona |
Phone Number | 5202754526 |
Fax Number | 5202967410 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Penner Eric |
Credentials | PHD |
Telephone Number | 5202754526 |
NPI Number Detail
NPI Number | 1609034479 |
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Provider Enumeration Date | 2008-05-29 |
Last Updated Date | 2008-06-26 |
Provider Mailing Address Detail
Address | 6737 N Shadow Run Dr |
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City | Tucson |
State | Arizona (AZ) |
Post Code | 857046929 |
Phone Number | 5202754526 |
Fax Number | 5202967410 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 2011 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the Eric R Penner Phd's 1609034479?
The Eric R Penner Phd's NPI (National Provider Identifier) Number is 1609034479. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Eric R Penner Phd?
The Eric R Penner Phd is situated at 6737 N Shadow Run Dr, in the city of Tucson, state of AZ, with the zip code 857046929.
What is Eric R Penner Phd's specialized field of practice, and what is the corresponding taxonomy classification code?
The Eric R Penner Phd's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609034479 to Eric R Penner Phd?
The Eric R Penner Phd received its 1609034479 assignment from the Centers for Medicare & Medicaid Services on 2008-05-29.
When was the information related to Eric R Penner Phd most recently updated or refreshed?
The details pertaining to the Eric R Penner Phd, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-26.