Organization
KATHRYN PENFOLD M., SC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN J PENFOLD M, SC (SOLE MEMBER)
(231) 590-6242
Entity
Organization
Contact information
Practice address
820 W FRONT ST, TRAVERSE CITY, MI 49684-2466
(231) 590-6242
Mailing address
820 W FRONT ST, TRAVERSE CITY, MI 49684-2466
(231) 590-6242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008173
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336325281
INDIVIDUAL NPI OF SOLE MEMBER
MI
Enumeration date
04/24/2015
Last updated
04/24/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us