Pennington, Martin B

Pennington, Martin B is an sole proprietor health care provider with primary practice located at 101 Avenida Serra , San Clemente CA 92672-4760. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Pennington, Martin B can be contacted via phone (949) 510-3845.

Contact Information

Primary practice address
101 Avenida Serra San Clemente CA 92672-4760
Phone: (949) 510-3845
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X PSB26001 California
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSB26011 California

Profile Details

NPI number 1225136880
LBN Legal business name Pennington, Martin B
Credentials PSY.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 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.

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