| Lyndal J Penner Ed.s. Llc | |
|
1 N Main St Ste 416 Hutchinson KS 67501-5250 | |
| (620) 708-6000 | |
| Not Available |
| Full Name | Lyndal J Penner Ed.s. Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1 N Main St Ste 416, Hutchinson, Kansas |
| Authorized Official Name and Position | Lyndal J Penner (PSYCHOTHERAPIST/OWNER) |
| Authorized Official Contact | 6207086000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lyndal J Penner Ed.s. Llc Po Box 604 Hutchinson KS 67504-0604 Ph: (620) 708-6000 | Lyndal J Penner Ed.s. Llc 1 N Main St Ste 416 Hutchinson KS 67501-5250 Ph: (620) 708-6000 |
| NPI Number | 1043686298 |
|---|---|
| Provider Enumeration Date | 08/11/2015 |
| Last Update Date | 08/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043686298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 142 (Kansas) | Primary |
| 106H00000X | Marriage & Family Therapist | 045 (Kansas) | Secondary |
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