| Eric R. Penner Phd, Pllc | |
|
6600 N Oracle Rd Ste 110 Tucson AZ 85704-5676 | |
| (520) 275-4526 | |
| (520) 296-7410 |
| Full Name | Eric R. Penner Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 6600 N Oracle Rd Ste 110, Tucson, Arizona |
| Authorized Official Name and Position | Eric Penner (OWNER) |
| Authorized Official Contact | 5202754526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eric R. Penner Phd, Pllc 6737 N Shadow Run Dr Tucson AZ 85704-6929 Ph: (520) 275-4526 | Eric R. Penner Phd, Pllc 6600 N Oracle Rd Ste 110 Tucson AZ 85704-5676 Ph: (520) 275-4526 |
| NPI Number | 1609034479 |
|---|---|
| Provider Enumeration Date | 05/29/2008 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609034479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2011 (Arizona) | Primary |
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