Christopher Ralph Penta in Windsor - Psychologist

Christopher Ralph Penta - NPI 1720178049

Christopher Ralph Penta is a Psychologist in Windsor, Connecticut. Christopher Ralph Penta practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Christopher Ralph Penta is 1720178049. The last update date is 2013-08-28.

Christopher Ralph Penta's current location address is 41 Mechanic Streer, Windsor, Connecticut. You can contact this provider via phone number 8602858270 and fax number 8606880004. The mailing address for Christopher Ralph Penta is 41 Mechanic Streer, Windsor, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Christopher Ralph Penta
Address 41 Mechanic Streer, Windsor, Connecticut
Phone Number 8602858270
Fax Number 8606880004
Sole Proprietor Y
Credentials PSY.D.

NPI Number Detail

NPI Number 1720178049
Provider Enumeration Date 2006-10-15
Last Updated Date 2013-08-28

Provider Mailing Address Detail

Address 41 Mechanic Streer
City Windsor
State Connecticut (CT)
Post Code 6095
Phone Number 8602858270
Fax Number 8606880004

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No 2378
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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FAQs about Christopher Ralph Penta

What is the Christopher Ralph Penta's 1720178049?

The Christopher Ralph Penta's NPI (National Provider Identifier) Number is 1720178049. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Christopher Ralph Penta located?

The Christopher Ralph Penta is located at 41 Mechanic Streer, Windsor, CT 6095.

What is Christopher Ralph Penta's specialized field of practice, and what is the corresponding taxonomy classification code?

The Christopher Ralph Penta's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.

On what date did Christopher Ralph Penta receive its 1720178049 assignment from the Centers for Medicare & Medicaid Services?

The Christopher Ralph Penta was assigned its 1720178049 on 2006-10-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Christopher Ralph Penta, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Christopher Ralph Penta, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-08-28.

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