Individual
DR. CHERRI E. PENTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D. , M.P.
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
MP.1026
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1409588
—
LA
Enumeration date
03/13/2007
Last updated
01/17/2010
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