David R Penner, PHD - Psychologist in Mountlake Terrace, WA

David R Penner, PHD is a Psychologist - Clinical based in Mountlake Terrace, Washington. David R Penner is licensed to practice in Washington (license number PY00000896) and his current practice location is 21907 64th Ave W, Suite 220, Mountlake Terrace, Washington. He can be reached at his office (for appointments etc.) via phone at (425) 640-9777.

NPI number for David R Penner is 1518081462 and his current mailing address is Po Box 60014, Seattle, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518081462.

Contact Information

David R Penner, PHD
21907 64th Ave W, Suite 220,
Mountlake Terrace, WA 98043-6200
(425) 640-9777
(425) 640-5122

Map and Direction




Healthcare Provider's Profile

Full NameDavid R Penner
GenderMale
SpecialityPsychologist - Clinical
Location21907 64th Ave W, Mountlake Terrace, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518081462
  • Provider Enumeration Date: 03/18/2007
  • Last Update Date: 08/02/2013

Medical Identifiers

Medical identifiers for David R Penner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518081462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY00000896 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David R Penner is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David R Penner, PHD
Po Box 60014,
Seattle, WA 98160-0014

Ph: (425) 640-9777
David R Penner, PHD
21907 64th Ave W, Suite 220,
Mountlake Terrace, WA 98043-6200

Ph: (425) 640-9777

Reviews and Comments


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