Organization
ERIC R PENNER PHD
Active
Other names
ERIC R. PENNER PHD, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC PENNER PHD (OWNER)
(520) 275-4526
Entity
Organization
Contact information
Practice address
6600 N ORACLE RD STE 110, TUCSON, AZ 85704-5676
(520) 275-4526
(520) 296-7410
Mailing address
6737 N SHADOW RUN DR, TUCSON, AZ 85704-6929
(520) 275-4526
(520) 296-7410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2011
AZ
Other
Enumeration date
05/29/2008
Last updated
06/26/2008
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