Individual provider · Type 1 NPI

Jeffrey Penner, PhD

Clinical Psychologist · San Diego, CA

NPI number 1104178078 Active

Practice location

8885 Rio San Diego Dr, Suite 325
San Diego, CA 92108-1624

Fax (619) 297-0122

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X7094 (CA)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1104178078

Jeffrey Penner, PhD's National Provider Identifier is 1104178078, issued on Oct 2, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in San Diego, CA. The record was last updated on Oct 2, 2012.