Individual
TIM PENROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
10439 S 51ST ST STE 100, PHOENIX, AZ 85044-5224
(480) 635-9944
(480) 635-9987
Mailing address
10439 S 51ST ST STE 100, PHOENIX, AZ 85044-5224
(480) 635-9944
(480) 635-9987
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT-10224
AZ
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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