Individual
MRS. DANELLE L PENNOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
904 W 23RD ST, STE 101 HEARTLAND PSYCHOLOGICAL SERVICES, YANKTON, SD 57078
(605) 665-0841
(605) 665-0096
Mailing address
904 W 23RD ST, STE 101 HEARTLAND PSYCHOLOGICAL SERVICES, YANKTON, SD 57078
(605) 665-0841
(605) 665-0096
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
478
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6552900
—
SD
Enumeration date
08/06/2009
Last updated
09/23/2014
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