Dr Pennie R Dexter, PHD is a
Psychologist - Clinical based in Nederland, Colorado. Dr Pennie R Dexter is licensed to practice in Colorado (license number PSY2854) and her current practice location is
159 W. 2nd St., Nederland, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 601-3416.
NPI number for Dr Pennie R Dexter is 1053418475 and her current mailing address is Po Box 1102, Keystone Counseling, Llc, Nederland, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053418475.
Healthcare Provider's Profile
| Full Name | Dr Pennie R Dexter |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 159 W. 2nd St., Nederland, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053418475
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Pennie R Dexter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053418475 | NPI | - | NPPES |
| 11572163 | Other | CO | CAQH UNIVERSAL CREDENTIAL |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PSY2854 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Pennie R Dexter is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Pennie R Dexter, PHD
Po Box 1102, Keystone Counseling, Llc,
Nederland, CO 80466-1102
Ph: (303) 601-3416 | Dr Pennie R Dexter, PHD
159 W. 2nd St.,
Nederland, CO 80466
Ph: (303) 601-3416 |
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