Pennock, Danelle L

Pennock, Danelle L is an individual health care provider with primary practice located at 904 W 23Rd St Ste 101 Heartland Psychological Services, Yankton SD 57078. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Pennock, Danelle L can be contacted via phone (605) 665-0841.

Contact Information

Primary practice address
904 W 23Rd St Ste 101 Heartland Psychological Services Yankton SD 57078
Phone: (605) 665-0841
Fax: (605) 665-0096
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 478 South Dakota

Profile Details

NPI number 1740411859
LBN Legal business name Pennock, Danelle L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2009
Last updated Sep 23rd, 2014 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740411859 NPPES
South Dakota MEDICAID 6552900

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