Penn, Gary J

Penn, Gary J is an individual health care provider with primary practice located at 435 N Bedford Dr Ste 112, Beverly Hills CA 90210-4321. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Penn, Gary J can be contacted via phone (310) 274-4372.

Contact Information

Primary practice address
435 N Bedford Dr Ste 112 Beverly Hills CA 90210-4321
Phone: (310) 274-4372
Fax: (310) 274-5146
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY16149 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY16149 California

Profile Details

NPI number 1902806607
LBN Legal business name Penn, Gary J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated Jul 8th, 2007 - about 17 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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