Penelope Dill, LMFT
Individual provider Active NPI Marriage & Family Therapist · Coeur D Alene, ID
NPI 1710692926 · NPPES record last updated Jan 23, 2023
Key facts
- NPI
- 1710692926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT-8620 (ID)
- Practice address
- 7600 N Mineral Dr Ste 300
Coeur D Alene, ID 83815-7763 - Phone
- (208) 274-3105
- NPI assigned
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT-8620 | ID | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT-8620 | ID | Yes |
Addresses
Primary practice location
7600 N Mineral Dr Ste 300
Coeur D Alene, ID 83815-7763
Mailing address
PO Box 2822
Hayden, ID 83835-2822
Phone (208) 818-9314
Other providers in Coeur D Alene, ID
- Colleen K Devlin
- Angeli Di Lucca
- Salvatore Di Raffaele
- Linda J Diamond
- Delwyn Lee Dick
- Grace Traal Dillman
- Rebecca Dillman
- Macy Dimler
- Andrea Nicole Dinning
- Dustin Dale Dinning
All providers in Coeur D Alene, ID · Marriage & Family Therapist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.