Individual
DR. CANDICE PENNELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
230 NORTH ROAD, PHP/DOOR #1, POUGHKEEPSIE, NY 12601
(845) 486-2784
Mailing address
230 NORTH ROAD, PHP/DOOR #1, POUGHKEEPSIE, NY 12601
(845) 486-2784
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
017921
NY
Other
Enumeration date
03/08/2007
Last updated
04/14/2020
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