| NPI | 1538102959 |
|---|---|
| Professional Name | R CLARK PENNELL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL SW3855) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL SW3855) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |