Individual
DR. PENNY S ZADDACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2155 W PINNACLE PEAK RD, SUITE 201-23, PHOENIX, AZ 85027-1201
(602) 410-5845
Mailing address
2155 W PINNACLE PEAK RD, SUITE 201-23, PHOENIX, AZ 85027-1201
(602) 410-5845
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4829
AZ
Other
Enumeration date
03/03/2017
Last updated
03/03/2017
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