Eric R Penner PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2011 Issued in AZ

Legal business name

ERIC R PENNER PHD

Practice address

6600 N Oracle Rd Ste 110
Tucson, AZ 85704-5676

Phone

(520) 275-4526

Fax

(520) 296-7410

NPI assigned

May 29, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eric Penner, PHD

Title

Owner

Phone

(520) 275-4526

Specialties & licenses 1

Addresses

Other names 1

• ERIC R. PENNER PHD, PLLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1609034479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 N SHADOW RUN DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857046929",
            "telephone_number": "520-275-4526",
            "fax_number": "520-296-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 N ORACLE RD STE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045676",
            "telephone_number": "520-275-4526",
            "fax_number": "520-296-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC R PENNER PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "PENNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-275-4526",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "2011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ERIC R. PENNER PHD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David W Erhardt, LCSW
• Ejiroghene Francis Erhariefe
• Margaret Constance Erhart, NURSE PRACTITIONER
• Mariah Lynn Erhart
• Eric D. Peters, MD
• Eric S. Berens, MD, PC
• Erich V. Bock, D.P.M., P.C.
• Chris Erickson
• Kristina K Erickson, M.D.
• Robert Erickson, MD

• Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.