Organization
LYNDAL J PENNER ED.S. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LYNDAL J PENNER ED.S. (PSYCHOTHERAPIST/OWNER)
(620) 708-6000
Entity
Organization
Contact information
Practice address
1 N MAIN ST STE 416, HUTCHINSON, KS 67501-5250
(620) 708-6000
Mailing address
PO BOX 604, HUTCHINSON, KS 67504-0604
(620) 708-6000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
142
KS
106H00000X
Marriage & Family Therapist
045
KS
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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