Penny A Pergament in Minneapolis - Clinical
Penny A Pergament - NPI 1073797049
Penny A Pergament is a Clinical in Minneapolis, Minnesota. Penny A Pergament practices all healthcare services and medical treatments related to Clinical. The NPI Number for Penny A Pergament is 1073797049. The last update date is 2007-12-26.
Penny A Pergament's current location address is 5744 Elliot Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6128234373 and fax number 6128234373. The mailing address for Penny A Pergament is 5744 Elliot Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny A Pergament |
|---|---|
| Address | 5744 Elliot Ave, Minneapolis, Minnesota |
| Phone Number | 6128234373 |
| Fax Number | 6128234373 |
| Sole Proprietor | Y |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1073797049 |
|---|---|
| Provider Enumeration Date | 2007-12-26 |
| Last Updated Date | 2007-12-26 |
Provider Mailing Address Detail
| Address | 5744 Elliot Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554172412 |
| Phone Number | 6128234373 |
| Fax Number | 6128234373 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP4308 |
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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 identification code issued to Penny A Pergament by the Centers for Medicare & Medicaid Services?
The Penny A Pergament has been assigned the NPI (National Provider Identifier) 1073797049 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Penny A Pergament?
The Penny A Pergament is situated at 5744 Elliot Ave, in the city of Minneapolis, state of MN, with the zip code 554172412.
What is the area of specialization for Penny A Pergament, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Penny A Pergament is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc0700X.
When was the Penny A Pergament's 1073797049 issued?
The Penny A Pergament's 1073797049 was issued on 2007-12-26.
When was the information pertaining to Penny A Pergament most recently updated or revised?
The details related to Penny A Pergament, including its address, specialty, and other relevant information, were last updated or revised on 2007-12-26.
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