Mckay, Pennie Jeanine

Mckay, Pennie Jeanine is an sole proprietor health care provider with primary practice located at 1674 Hill Rd Suite #7, Boise ID 83702-0958. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Mckay, Pennie Jeanine can be contacted via phone (208) 345-1552.

Contact Information

Primary practice address
1674 Hill Rd Suite #7 Boise ID 83702-0958
Phone: (208) 345-1552
Fax: (208) 345-1552
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 244 Idaho
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2936 Idaho

Profile Details

NPI number 1326138546
LBN Legal business name Mckay, Pennie Jeanine
Credentials M.A., L.C.P.C., L.M.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326138546 NPPES
Idaho Other 000010017356 BLUE SHIELD
Idaho Other 259420 BLUE SHIELD
Idaho Other Q5779 BLUE SHIELD

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