Pennell, Robert Clark

Pennell, Robert Clark is an individual health care provider with primary practice located at 3959 S Nova Rd Suite 5, Port Orange FL 32127-9278. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Other Service Providers / Specialist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Pennell, Robert Clark can be contacted via phone (386) 761-2390.

Contact Information

Primary practice address
3959 S Nova Rd Suite 5 Port Orange FL 32127-9278
Phone: (386) 761-2390
Fax: (386) 761-3256
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X SW3855 Florida
Other Service Providers / Specialist 174400000X SW3855 Florida

Profile Details

NPI number 1538102959
LBN Legal business name Pennell, Robert Clark
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
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.

Request for update

Popular Providers