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PATRICIA UNGER PERNICANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1205 APPLEGATE LN, CLARKSVILLE, IN 47129-9608
(812) 283-8383
Mailing address
1205 APPLEGATE LANE, CLARKSVILLE, IN 47129
(812) 283-8383

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
0647
KY
103TC0700X
Clinical Psychologist
Primary
20042214A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200878100
IN
Enumeration date
07/13/2006
Last updated
05/12/2015
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