Individual
DR. TERENCE MATTHEW PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1501 SULGRAVE AVE, BALTIMORE, MD 21209-3654
(443) 708-5856
(667) 212-5095
Mailing address
250 MISSION BLVD UNIT 704, BALTIMORE, MD 21230-5627
(256) 541-1609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
07078
MD
Other
Enumeration date
05/25/2021
Last updated
11/19/2024
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