Penner, Lyndal
Penner, Lyndal is an sole proprietor health care provider with primary practice located at 1715 E 23Rd Ave , Hutchinson KS 67502-1105. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Penner, Lyndal can be contacted via phone (620) 665-2240.Contact Information
Primary practice address
1715 E 23Rd Ave
Hutchinson KS 67502-1105
Phone: (620) 665-2240
Fax: (620) 665-2276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 142 | Kansas |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 046 | Kansas |
Profile Details
| NPI number | 1881790624 |
|---|---|
| LBN Legal business name | Penner, Lyndal |
| Credentials | LCP, LCMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1881790624 | NPPES |
| Kansas | MEDICAID | 100098120A |
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