Robert Pennebaker PMHNP-BC, LCSW

NPI 1609957505 - Social Worker - 1041C0700X

NPI Details
NPI 1609957505
Gender Male
Enumeration Date 10/18/2006
Last Updated 08/13/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
518 BEAUMONT RD
FAYETTEVILLE NC, 28304-4446, US
Phone (910) 484-3400
Fax (910) 484-3404
Business Location
518 BEAUMONT RD
FAYETTEVILLE NC, 28304-4446, US
Phone (910) 484-3400
Fax (910) 484-3404
Toxanomy
Taxonomy Code 1041C0700X
License State North Carolina
License Number C002032
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According to our database, Robert Pennebaker PMHNP-BC, LCSW NPI is 1609957505, taxonomy code is 1041C0700X and license number is C002032, license state is located at North Carolina. Robert Pennebaker PMHNP-BC, LCSW physically located at 518 Beaumont Rd, Fayetteville NC, 28304-4446. NPI Number Robert Pennebaker PMHNP-BC, LCSW has the Individual type.

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1609957505 NPI number is provided on an as is basis without warranty of any kind. 1609957505 is maintained by the National Plan & Provider Enumeration System. The contents of Robert Pennebaker PMHNP-BC, LCSW are for informational purposes only.