Pennello, Robert S

Pennello, Robert S is an sole proprietor health care provider with primary practice located at 136 Waxhaw Pkwy Ste E110 , Waxhaw NC 28173-5029. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Pennello, Robert S can be contacted via phone (919) 522-1559.

Contact Information

Primary practice address
136 Waxhaw Pkwy Ste E110 Waxhaw NC 28173-5029
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X S8956 North Carolina

Profile Details

NPI number 1750633129
LBN Legal business name Pennello, Robert S
Credentials LCMHCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2012
Last updated Oct 1st, 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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