Individual
CHARLOTTE PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 RR 620 S STE B, LAKEWAY, TX 78734-5611
(512) 537-0980
Mailing address
500 E STASSNEY LN APT 1434, AUSTIN, TX 78745-3289
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38178
TX
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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