Eric Regan Penner is a Clinical in Tucson, Arizona. Eric Regan Penner practices all healthcare services and medical treatments related to Clinical. The NPI Number for Eric Regan Penner is 1336351162. The last update date is 2008-05-30.
Eric Regan Penner's current location address is 6737 N Shadow Run Dr, Tucson, Arizona. You can contact this provider via phone number 5205442848. The mailing address for Eric Regan Penner is 6737 N Shadow Run Dr, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Regan Penner |
|---|---|
| Address | 6737 N Shadow Run Dr, Tucson, Arizona |
| Phone Number | 5205442848 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1336351162 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2008-05-30 |
Provider Mailing Address Detail
| Address | 6737 N Shadow Run Dr |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857046929 |
| Phone Number | 5205442848 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2011 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identifier code issued to Eric Regan Penner by the Centers for Medicare & Medicaid Services?
The Eric Regan Penner has been assigned the NPI (National Provider Identifier) 1336351162 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Eric Regan Penner?
The Eric Regan Penner is situated at 6737 N Shadow Run Dr, in the city of Tucson, state of AZ, with the zip code 857046929.
What is Eric Regan Penner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Eric Regan Penner is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did Eric Regan Penner receive its 1336351162 assignment from the Centers for Medicare & Medicaid Services?
The Eric Regan Penner was assigned its 1336351162 on 2007-05-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Eric Regan Penner most recently updated or revised?
The details related to Eric Regan Penner, including its address, specialty, and other relevant information, were last updated or revised on 2008-05-30.