Individual
MRS. ROBERTA RAE PENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
555 HARRISON ST, EMMAUS, PA 18049
(610) 965-6418
(610) 965-6382
Mailing address
555 HARRISON ST, EMMAUS, PA 18049
(610) 965-6418
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC000394
PA
103T00000X
Psychologist
PS006824L
PA
Other
Enumeration date
11/22/2006
Last updated
09/11/2025
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