| Jeffry R Penwarden, PHD, LP | |
|
1540 Lake St S, Forest Lake, MN 55025-2628 | |
| (651) 464-7100 | |
| (651) 982-5515 |
| Full Name | Jeffry R Penwarden |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1540 Lake St S, Forest Lake, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871544478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP2545 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffry R Penwarden, PHD, LP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-4813 | Jeffry R Penwarden, PHD, LP 1540 Lake St S, Forest Lake, MN 55025-2628 Ph: (651) 464-7100 |
Dr. Kathryn Lee Isham, L.P. Psychologist Medicare: Medicare Enrolled Practice Location: 1540 Lake St S, Forest Lake, MN 55025 Phone: 651-464-7100 | |
Cathy Lee Skrip, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20 Lake St N, Suite 308, Forest Lake, MN 55025 Phone: 651-464-8918 Fax: 651-982-9406 | |
Mr. Joseph James Bauer, MSE., LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1068 S. Lake St. #109, Forest Lake, MN 55025 Phone: 612-817-5487 Fax: 651-439-8350 | |
Dr. Julie Eschenlauer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1068 Lake St S, Suite 12, Forest Lake, MN 55025 Phone: 763-412-9724 | |
Dr. Jack Kasl, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1790 11th St Se, Forest Lake, MN 55025 Phone: 612-867-8451 Fax: 763-552-0787 | |
Megan Robb, PSY.D Psychologist Medicare: Medicare Enrolled Practice Location: 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025 Phone: 651-251-5231 | |
Louisa Hollinshead, M.ED, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 121 11th Ave Se, Forest Lake, MN 55025 Phone: 651-251-5220 Fax: 651-251-5279 |