Individual
SARAH WILLARD PENEGAR
Active
Individual
SARAH WILLARD PENEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
P-904TN
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025798
BL;UE CROSS/BLUE SHIELD O
TN
01
—
005153
VALUE OPTIONS
TN
05
—
3683781
—
TN
01
—
620944661-02
JOHN DEERE
TN
Enumeration date
09/12/2005
Last updated
07/09/2007
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