Penticoff, Renee Marie
Penticoff, Renee Marie is an individual health care provider with primary practice located at 1818 Wooddale Dr Suite 204, Woodbury MN 55125-2940. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Penticoff, Renee Marie can be contacted via phone (651) 255-6678.Contact Information
Primary practice address
1818 Wooddale Dr Suite 204
Woodbury MN 55125-2940
Phone: (651) 255-6678
Fax: (651) 501-6091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP 4060 | Minnesota |
Profile Details
| NPI number | 1962506493 |
|---|---|
| LBN Legal business name | Penticoff, Renee Marie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 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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