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

DR. JEFFREY PENNER, PHD

Active Sole Proprietor

DR. JEFFREY PENNER, PHD is a Clinical Psychologist healthcare provider located in SAN DIEGO, California. NPI 1104178078 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · SAN DIEGO, CA

Registration Details

NPI Number
1104178078
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2012 (13.886862331272 yrs)
Last Updated
Oct 2, 2012
License
7094 (CA)
Sole Proprietor
Yes

Practice Information

Address
8885 RIO SAN DIEGO DR
SUITE 325
SAN DIEGO, CA, 921081624
Browse CA providers · Browse ZIP 92108
Phone
6192978640
Fax
6192970122
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in SAN DIEGO, CA

Name Credential NPI
DR. JANET JAFFE PH.D. 1609879113
DR. DORIAN L POLSON PHD 1437159001
DR. ELIZABETH EARLE GREEN PHD 1013917368
DR. MICHELE YVETTE OSTER PSY.D. 1295735280
DR. ALAN LINCOLN PH.D. 1104819119
DR. DENISE LEE BUCHANAN PHD 1093709263
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.