Individual
BAILEY AARON PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMLP-T
Contact information
Practice address
900 N POPLAR ST, NEWTON, KS 67114-1956
(316) 803-1011
Mailing address
725 OLD-MILL RD, PEABODY, KS 66866-9401
(620) 983-9023
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
03388-T
KS
Other
Enumeration date
02/13/2025
Last updated
07/03/2025
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