| Pennwalt Therapeutics, Pllc | |
|
140 Quail Drive Dudley NC 28333 | |
| (919) 583-5247 | |
| (800) 916-5488 |
| Full Name | Pennwalt Therapeutics, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 140 Quail Drive, Dudley, North Carolina |
| Authorized Official Name and Position | Jennifer Scott Smith (OWNER/ PSYCHOTHERAPIST) |
| Authorized Official Contact | 9195835247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pennwalt Therapeutics, Pllc Po Box 761 Dudley NC 28333-0761 Ph: (919) 583-5247 | Pennwalt Therapeutics, Pllc 140 Quail Drive Dudley NC 28333 Ph: (919) 583-5247 |
| NPI Number | 1639029010 |
|---|---|
| Provider Enumeration Date | 02/03/2026 |
| Last Update Date | 02/03/2026 |
| Certification Date | 01/30/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639029010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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