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
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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FAQs about Penny A Pergament

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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