| Penny Petrik, EDS | |
|
820 N Washington Ave, Heartland Building, Madison, SD 57042-1735 | |
| (605) 256-5555 | |
| Not Available |
| Full Name | Penny Petrik |
|---|---|
| Gender | Female |
| Speciality | Psychologist - School |
| Location | 820 N Washington Ave, Madison, South Dakota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265985774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 63594-2 (South Dakota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Penny Petrik, EDS 820 N Washington Ave, Heartland Building, Madison, SD 57042-1735 Ph: (605) 256-5555 | Penny Petrik, EDS 820 N Washington Ave, Heartland Building, Madison, SD 57042-1735 Ph: (605) 256-5555 |
Lance Koenig, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 North Washington Ave, Plec Dakota State University, Madison, SD 57042 Phone: 605-256-5555 | |
Mrs. Renae Christensen, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 N. Washington Ave., Madison, SD 57042 Phone: 605-256-5555 | |
Cara Sommerlot, ED.S. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 820 N Washington Ave, Madison, SD 57042 Phone: 605-256-5555 |