Renee Marie Penticoff in Woodbury - Clinical
Renee Marie Penticoff - NPI 1962506493
Renee Marie Penticoff is a Clinical in Woodbury, Minnesota. Renee Marie Penticoff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Renee Marie Penticoff is 1962506493. The last update date is 2007-07-08.
Renee Marie Penticoff's current location address is Po Box 25334, Woodbury, Minnesota. You can contact this provider via phone number 6512556678 and fax number 6515016091. The mailing address for Renee Marie Penticoff is Po Box 25334, Woodbury, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renee Marie Penticoff |
|---|---|
| Address | Po Box 25334, Woodbury, Minnesota |
| Phone Number | 6512556678 |
| Fax Number | 6515016091 |
| Sole Proprietor | N |
| Credentials | PSY.D. |
NPI Number Detail
| NPI Number | 1962506493 |
|---|---|
| Provider Enumeration Date | 2006-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 25334 |
|---|---|
| City | Woodbury |
| State | Minnesota (MN) |
| Post Code | 551250334 |
| Phone Number | 6512556678 |
| Fax Number | 6515016091 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP 4060 |
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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 identifier code issued to Renee Marie Penticoff by the Centers for Medicare & Medicaid Services?
The Renee Marie Penticoff has been assigned the NPI (National Provider Identifier) 1962506493. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Renee Marie Penticoff located?
The Renee Marie Penticoff is located at Po Box 25334, Woodbury, MN 551250334.
What is Renee Marie Penticoff's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Renee Marie Penticoff is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Renee Marie Penticoff receive its 1962506493 assignment from the Centers for Medicare & Medicaid Services?
The Renee Marie Penticoff was assigned its 1962506493 by the Centers for Medicare & Medicaid Services on 2006-09-13.
When was the information regarding Renee Marie Penticoff, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Renee Marie Penticoff, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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