Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. EARLYN DOROTHY PENGELLY, M.A., M.S.
ActiveMS. EARLYN DOROTHY PENGELLY, M.A., M.S. is a Clinical Psychologist healthcare provider located in MANKATO, Minnesota. NPI 1710004163 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MANKATO, MN
Registration Details
- NPI Number
- 1710004163
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 23, 2007 (19.416794903028 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
LP1114 (MN)4137 (MN)
Practice Information
- Address
-
430 PATTERSON AVEMANKATO, MN, 560012309Browse MN providers · Browse ZIP 56001
- Phone
- 5073885801
- Fax
- 5073882715
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Psychologist Providers in MANKATO, MN
| Name | Credential | NPI |
|---|---|---|
| DR. DANIEL WILLIAM ZENGA | ED. D. | 1396729703 |
| STEVEN P PETERSON | MS, LP | 1326027244 |
| DARCIE GILBERTSON JACOBS | PSY D | 1831178136 |
| PATRICIA R GUSTAFSON | MS LP | 1710943840 |
| DR. THEODORE SURDY | PHD LP | 1063463347 |
| DR. NANCY FENRICK | PHD | 1073564365 |
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.