Marty J Pentz in Indianapolis - Clinical

Marty J Pentz - NPI 1326050618

Marty J Pentz is a Clinical in Indianapolis, Indiana. Marty J Pentz practices all healthcare services and medical treatments related to Clinical. The NPI Number for Marty J Pentz is 1326050618. The last update date is 2007-07-08.

Marty J Pentz's current location address is 1481 W 10th St, Indianapolis, Indiana. You can contact this provider via phone number 3179882795. The mailing address for Marty J Pentz is 1481 W 10th St, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Marty J Pentz
Address 1481 W 10th St, Indianapolis, Indiana
Phone Number 3179882795
Fax Number
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1326050618
Provider Enumeration Date 2006-08-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1481 W 10th St
City Indianapolis
State Indiana (IN)
Post Code 462022803
Phone Number 3179882795
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No 34001976A
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Marty J Pentz

What is the unique identifier code issued to Marty J Pentz by the Centers for Medicare & Medicaid Services?

The Marty J Pentz has been assigned the NPI (National Provider Identifier) 1326050618. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Marty J Pentz is located?

The Marty J Pentz is situated at the following address: 1481 W 10Th St, Indianapolis, IN, 462022803.

What is Marty J Pentz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Marty J Pentz is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1326050618 to Marty J Pentz?

The Centers for Medicare & Medicaid Services originally issued the 1326050618 to Marty J Pentz on 2006-08-13.

As of what date were the details pertaining to Marty J Pentz last refreshed?

The information related to the Marty J Pentz, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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