Individual
MS. KATHRYN PENFOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.SC
Contact information
Practice address
820 W FRONT ST, TRAVERSE CITY, MI 49684-2466
(231) 590-6242
(231) 935-0846
Mailing address
820 W FRONT ST, TRAVERSE CITY, MI 49684-2466
(231) 590-6242
(231) 935-0846
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008173
MI
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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