JUSTIN DAVID PENNER

BRONX, NY
NPI1265942007
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: NY  021644)
Enumeration Date2017-10-06
Last Update Date2017-10-06
Business Address
JUSTIN DAVID PENNER PhD
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 718-584-9000
Mailing Address
JUSTIN DAVID PENNER PhD
130 W KINGSBRIDGE RD
BRONX, NY 10468-3904
Phone number: 718-584-9000
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