Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFRY R PENWARDEN, PHD, LP
ActiveJEFFRY R PENWARDEN, PHD, LP is a Clinical Psychologist healthcare provider located in FOREST LAKE, Minnesota. NPI 1871544478 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · FOREST LAKE, MN
Registration Details
- NPI Number
- 1871544478
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (20.224209022393 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LP2545 (MN)
Practice Information
- Address
-
1540 LAKE ST SFOREST LAKE, MN, 550252628Browse MN providers · Browse ZIP 55025
- Phone
- 6514647100
- Fax
- 6519825515
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in FOREST LAKE, MN
| Name | Credential | NPI |
|---|---|---|
| DR. DORIS HERR | PSY.D., LP | 1780603423 |
| DR. JACK KASL | PH.D. | 1174614150 |
| DR. JULIE ESCHENLAUER | PSY.D. | 1164728176 |
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.