Individual
DR. PENNY A PERGAMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5744 ELLIOT AVE, MINNEAPOLIS, MN 55417-2412
(612) 823-4373
(612) 823-4373
Mailing address
5744 ELLIOT AVE, MINNEAPOLIS, MN 55417-2412
(612) 823-4373
(612) 823-4373
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4308
MN
Other
Enumeration date
12/26/2007
Last updated
12/26/2007
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