Individual
DR. CLIFFORD PENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
200 E DEL MAR BLVD, STE 126, PASADENA, CA 91105-2544
(626) 449-2525
Mailing address
200 E DEL MAR BLVD STE 126, PASADENA, CA 91105-2551
(626) 449-2525
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PL3766
CA
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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