Individual
DR. ERIC REGAN PENNER
Active
Individual
DR. ERIC REGAN PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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