| NPI | 1609034479 |
|---|---|
| Doing Business As | ERIC R. PENNER PHD, PLLC |
| Entity Type | Organization |
| Authorized Contact | ERIC PENNER Owner 520-275-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 2011) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2008-06-26 |