Individual
DR. STEPHANIE PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
36 RUSSELL ST, NEW BRITAIN, CT 06052-1313
(203) 889-4998
Mailing address
PO BOX 3676, WOODBRIDGE, CT 06525-0676
(203) 889-4998
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3636
CT
103TC0700X
Clinical Psychologist
Primary
3636
CT
103TF0200X
Forensic Psychologist
3636
CT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
3636
CT
Other
Enumeration date
07/09/2008
Last updated
06/16/2018
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