Pengilly, Michelle

Pengilly, Michelle is an individual health care provider with primary practice located at 1230 N Anderson Rd , Exeter CA 93221-9674. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Pengilly, Michelle can be contacted via phone (559) 594-4855.

Contact Information

Primary practice address
1230 N Anderson Rd Exeter CA 93221-9674
Phone: (559) 594-4855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1225668908
LBN Legal business name Pengilly, Michelle
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2020
Last updated Jan 22nd, 2020 - about 4 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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