Individual
DR. SUSAN MICHELLE PENZA-CLYVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
40 FOREST FALLS DR STE 316, YARMOUTH, ME 04096-7010
(207) 756-4278
Mailing address
110 MARGINAL WAY # 285, PORTLAND, ME 04101-2442
(207) 756-4278
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1193
ME
103TC0700X
Clinical Psychologist
Primary
PS 1193
ME
Other
Enumeration date
07/23/2006
Last updated
10/13/2023
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