Individual
MICHAEL LEE PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
415 HARRISBURG AVE, LANCASTER, PA 17603-2827
(717) 358-3831
(717) 358-4287
Mailing address
329 W LEMON ST, LANCASTER, PA 17603-2944
(717) 341-8932
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008291L
PA
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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