Clifford Penner is a Psychologist in Pasadena, California. Clifford Penner practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Clifford Penner is 1548429947. The last update date is 2008-06-02.
Clifford Penner's current location address is 200 E Del Mar Blvd Ste 126, Pasadena, California. You can contact this provider via phone number 6264492525. The mailing address for Clifford Penner is 200 E Del Mar Blvd Ste 126, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clifford Penner |
|---|---|
| Address | 200 E Del Mar Blvd Ste 126, Pasadena, California |
| Phone Number | 6264492525 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1548429947 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2008-06-02 |
Provider Mailing Address Detail
| Address | 200 E Del Mar Blvd Ste 126 |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911052551 |
| Phone Number | 6264492525 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | PL3766 |
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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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Post Comment/ Review Below
What is the Clifford Penner's 1548429947?
The Clifford Penner's NPI (National Provider Identifier) Number is 1548429947. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Clifford Penner is physically located?
The Clifford Penner is physically situated at the following address: 200 E Del Mar Blvd Ste 126, Pasadena, CA, 911052551.
What is the Clifford Penner's specialty and taxonomy code?
The Clifford Penner's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
When did Clifford Penner receive its 1548429947 assignment?
The Clifford Penner was assigned its 1548429947 on 2008-06-02, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Clifford Penner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clifford Penner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-02.