Individual
DR. DANIEL FREDERICK PENROD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
81104 LOST VALLEY DR, MARS, PA 16046-4272
(727) 667-0746
Mailing address
81104 LOST VALLEY DR, MARS, PA 16046-4272
(727) 667-0746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY2776
FL
Other
Enumeration date
08/18/2006
Last updated
04/20/2016
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