Individual
SCOTT S PENGELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2993 CHANDLER AVE, EUGENE, OR 97403-3241
(541) 913-1930
(541) 284-5944
Mailing address
2993 CHANDLER AVE, EUGENE, OR 97403-3241
(541) 913-1930
(541) 284-5944
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
798
OR
Other
Enumeration date
04/04/2007
Last updated
08/23/2023
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