Individual
DR. ERIC REGAN PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
6600 N ORACLE RD STE 110, TUCSON, AZ 85704-5676
(520) 275-4526
(520) 296-7410
Mailing address
6737 N SHADOW RUN DR, TUCSON, AZ 85704-6929
(520) 544-2848
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2011
AZ
103TS0200X
School Psychologist
—
AZ
Other
Enumeration date
05/04/2007
Last updated
05/30/2008
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