Individual
GARY J PENN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
435 N BEDFORD DR, STE 112, BEVERLY HILLS, CA 90210-4321
(310) 274-4372
(310) 274-5146
Mailing address
435 N BEDFORD DR, STE 112, BEVERLY HILLS, CA 90210-4321
(310) 274-4372
(310) 274-5146
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY16149
CA
103TC0700X
Clinical Psychologist
PSY16149
CA
Other
Enumeration date
07/26/2005
Last updated
09/11/2025
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