Individual
DANA L PENNEY
Active
Individual
DANA L PENNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
4923
MA
2084N0400X
Neurology Physician
Primary
4923
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501751
—
MA
Enumeration date
09/20/2006
Last updated
06/10/2021
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