Individual provider · Type 1 NPI

Frederick W. Penza, ED.D.

Health Service Psychologist · Andover, MA

NPI number 1720143381 Active

Practice location

6 Enfield Dr
Andover, MA 01810-6021

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100X871 (MA)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1720143381

Frederick W. Penza, ED.D.'s National Provider Identifier is 1720143381, issued on Dec 26, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Andover, MA. The record was last updated on Jul 9, 2007.