Penn, Patricia
Penn, Patricia is an individual health care provider with primary practice located at 502 W 29Th St , Tucson AZ 85713-3353. She recently has 8 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Penn, Patricia can be contacted via phone (520) 884-9920.Contact Information
Primary practice address
502 W 29Th St
Tucson AZ 85713-3353
Phone: (520) 884-9920
Fax: (520) 792-0654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 103TA0400X | 1959 | Arizona |
| Behavioral Health & Social Service Providers / Adult Development & Aging | 103TA0700X | 1959 | Arizona |
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 1959 | Arizona |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1959 | Arizona |
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 1959 | Arizona |
| Behavioral Health & Social Service Providers / Family | 103TF0000X | 1959 | Arizona |
| Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 1959 | Arizona |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1959 | Arizona |
Profile Details
| NPI number | 1164552386 |
|---|---|
| LBN Legal business name | Penn, Patricia |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164552386 | NPPES |
| Arizona | MEDICAID | 505191 |
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