Individual
DR. JODY LYNN PENNINGTON DI COSOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6601 W THOMAS RD, PHOENIX, AZ 85033-5700
(602) 243-7277
Mailing address
4468 W ORANGEWOOD AVE, GLENDALE, AZ 85301-2207
(623) 680-0097
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-005344
AZ
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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