Organization
PSYCHIATRIC ASSOCIATES OF NORTHERN AZ PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FREEMAN PENNEY MD (PARTNER)
(928) 445-8400
Entity
Organization
Contact information
Practice address
141 SOUTH MCCORMICK, SUITE #200, PRESCOTT, AZ 86303-4731
(928) 445-8400
(928) 776-0208
Mailing address
141 SOUTH MCCORMICK, SUITE #200, PRESCOTT, AZ 86303-4731
(928) 445-8400
(928) 776-0208
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063590297
NPI
—
01
—
1235207424
NPI
—
Enumeration date
03/13/2007
Last updated
05/28/2015
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