Randal S Pennington is a Clinical in Provo, Utah. Randal S Pennington practices all healthcare services and medical treatments related to Clinical. The NPI Number for Randal S Pennington is 1801903786. The last update date is 2007-07-08.
Randal S Pennington's current location address is 750 North 200 West, Provo, Utah. You can contact this provider via phone number 8013734760 and fax number 8013730639. The mailing address for Randal S Pennington is 750 North 200 West, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Name | Randal S Pennington |
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Address | 750 North 200 West, Provo, Utah |
Phone Number | 8013734760 |
Fax Number | 8013730639 |
Sole Proprietor | N |
Credentials | PSYD |
NPI Number Detail
NPI Number | 1801903786 |
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Provider Enumeration Date | 2006-08-24 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 750 North 200 West |
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City | Provo |
State | Utah (UT) |
Post Code | 84601 |
Phone Number | 8013734760 |
Fax Number | 8013730639 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 49478942501 |
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 assigned to Randal S Pennington by the Centers for Medicare & Medicaid Services?
The Randal S Pennington has been issued the NPI (National Provider Identifier) 1801903786 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Randal S Pennington?
The Randal S Pennington is physically situated at 750 North 200 West, in the city of Provo, state of UT, with the postal code 84601.
What is the Randal S Pennington's specialty and taxonomy code?
The Randal S Pennington's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the Randal S Pennington's 1801903786 issued?
The Randal S Pennington's 1801903786 was issued on 2006-08-24.
When was the information related to Randal S Pennington most recently updated or refreshed?
The details pertaining to the Randal S Pennington, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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