Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. CHARLES WILLIAM PENGRA, PH.D.

Active Sole Proprietor

DR. CHARLES WILLIAM PENGRA, PH.D. is a Psychologist healthcare provider located in SANTA ROSA, California. NPI 1093738619 is currently active in the NPPES registry. Verify at CMS.

Psychologist · SANTA ROSA, CA

Registration Details

NPI Number: 1093738619
Provider Type: Individual
Gender: Male
NPI Issued: Jul 25, 2006 (20.033065546293 yrs)
Last Updated: Jul 8, 2007
License: PSY 6754 (CA)
Sole Proprietor: Yes

Practice Information

Address: 722 SPRING ST

STE. 1

SANTA ROSA, CA, 954043902
Browse CA providers · Browse ZIP 95404
Phone: 7075832360
Fax: 7075440825
Primary Specialty: Psychologist
103T00000X

Other Psychologist Providers in SANTA ROSA, CA

Name	Credential	NPI
DR. CAROL WESER	PSYCHOLOGIST	1639169576
DR. ROBERT BENAVIDES JR.	ED.D.	1487638714
TARA JEANINE BUDINGER	PH D	1831163716
WARREN SCOTT BEAN	PHD	1437180361
DR. TERRI HAMILTON-GAHART	PH.D.	1629096706
DR. BECKY LEE JANDREY	PH.D.	1144242041

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.