CHARLES WILLIAM PENGRA

SANTA ROSA, CA
NPI1093738619
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103T00000X Psychologist
(Licence: CA  PSY 6754)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Dr. CHARLES WILLIAM PENGRA Ph.D.
722 SPRING ST STE. 1
SANTA ROSA, CA 95404-3902
Phone number: 707-583-2360
Mailing Address
Dr. CHARLES WILLIAM PENGRA Ph.D.
722 SPRING ST STE. 1
SANTA ROSA, CA 95404-3902
Phone number: 707-583-2360
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