Individual
KATHERINE PENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1203 US HIGHWAY 98, UNIT 3B, DAPHNE, AL 36526-4277
(504) 780-1702
(504) 780-1705
Mailing address
2901 N I 10 SERVICE RD E, STE 300, METAIRIE, LA 70002-6137
(504) 780-1702
(504) 780-1705
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1871
AL
Other
Enumeration date
04/22/2014
Last updated
04/22/2014
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