David Eugene Penner in Olympia - Child & Adolescent Psychiatry
David Eugene Penner - NPI 1114005584
David Eugene Penner is a Child & Adolescent Psychiatry in Olympia, Washington. David Eugene Penner practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for David Eugene Penner is 1114005584. The last update date is 2020-05-17.
David Eugene Penner's current location address is Po Box 23, Olympia, Washington. You can contact this provider via phone number 3605391736 and fax number 3603505610. The mailing address for David Eugene Penner is Po Box 23, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Eugene Penner |
|---|---|
| Address | Po Box 23, Olympia, Washington |
| Phone Number | 3605391736 |
| Fax Number | 3603505610 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1114005584 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2020-05-17 |
Provider Mailing Address Detail
| Address | Po Box 23 |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 985070023 |
| Phone Number | 3605391736 |
| Fax Number | 3603505610 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | MD60191191 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to David Eugene Penner?
The David Eugene Penner has been issued the NPI (National Provider Identifier) 1114005584 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where David Eugene Penner is geographically located?
The David Eugene Penner is physically situated at the following location: Po Box 23, Olympia, WA, 985070023.
What is David Eugene Penner's specialized field of practice, and what is the corresponding taxonomy classification code?
The David Eugene Penner's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date did the David Eugene Penner receive its 1114005584 assignment from the Centers for Medicare & Medicaid Services?
The David Eugene Penner was assigned its 1114005584 by the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date was the information regarding David Eugene Penner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to David Eugene Penner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-05-17.