Organization
PENNINGTON PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLOTTE PENNINGTON PH.D. (OWNER, LICENSED PSYCHOLOGIST)
(713) 828-8788
Entity
Organization
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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