Individual provider · Type 1 NPI

Renee Marie Penticoff, PSY.D.

Clinical Psychologist · Woodbury, MN

NPI number 1962506493 Active

Practice location

1818 Wooddale Dr, Suite 204
Woodbury, MN 55125-2940

Fax (651) 501-6091

Mailing address

PO Box 25334
Woodbury, MN 55125-0334

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XLP 4060 (MN)

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 1962506493

Renee Marie Penticoff, PSY.D.'s National Provider Identifier is 1962506493, issued on Sep 13, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Woodbury, MN. The record was last updated on Jul 8, 2007.