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

MR. JON MICHAEL PENTON, M.A., L.P.

Active Sole Proprietor

MR. JON MICHAEL PENTON, M.A., L.P. is a Clinical Psychologist healthcare provider located in FARIBAULT, Minnesota. NPI 1467769190 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · FARIBAULT, MN

Registration Details

NPI Number
1467769190
Provider Type
Individual
Gender
Male
NPI Issued
Sep 1, 2010 (15.934333718546 yrs)
Last Updated
Sep 1, 2010
License
LP0749 (MN)
Sole Proprietor
Yes

Practice Information

Address
22551 DODGE CT
FARIBAULT, MN, 550218479
Browse MN providers · Browse ZIP 55021
Phone
6127019255
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in FARIBAULT, MN

Name Credential NPI
JOHN DEFRANCISCO MS,MA 1477537355
ELIZABETH K DREWITZ PSYD, LP 1518038884
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.