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PATRICIA PENN PH.D. NPI 1164552386


NPI Information

NPI: 1164552386
Provider Name: PATRICIA PENN, PH.D.
Classification: Psychologist - 103TA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
502 W 29TH ST
TUCSON, AZ
ZIP 85713
Phone: (520) 884-9920
Get Directions

Patricia Penn, PH.D. is an addiction (substance use disorder) psychologist in Tucson, AZ. The provider is a psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior. Patricia Penn, PH.D. NPI is 1164552386. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

502 W 29TH ST
TUCSON, AZ
ZIP 85713-353
Phone: (520) 884-9920
Fax: (520) 792-0654

The enumeration date for this NPI number is 3/6/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TA0400XPsychologistAddiction (Substance Use Disorder)1959ARIZONAYes
2103TA0700XPsychologistAdult Development & Aging1959ARIZONAX
3103TB0200XPsychologistCognitive & Behavioral1959ARIZONAX
4103TC0700XPsychologistClinical1959ARIZONAX
5103TC1900XPsychologistCounseling1959ARIZONAX
6103TF0000XPsychologistFamily1959ARIZONAX
7103TP2701XPsychologistGroup Psychotherapy1959ARIZONAX
8103T00000XPsychologist1959ARIZONAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1505191MEDICAIDARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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