Individual
CHRISTOPHER PENNYWELL SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CTC
Contact information
Practice address
47370 WARM SPRINGS BLVD, FREMONT, CA 94539-7458
(559) 681-3917
Mailing address
4476 N PHOENIX AVE, FRESNO, CA 93723-9583
(559) 681-3917
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
210146422
CA
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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