| Dr Robert Clark Pennell, PHD | |
|
3959 S Nova Rd, Suite 5, Port Orange, FL 32127-9278 | |
| (386) 761-2390 | |
| (386) 761-3256 |
| Full Name | Dr Robert Clark Pennell |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 3959 S Nova Rd, Port Orange, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538102959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | SW3855 (Florida) | Primary |
| 174400000X | Specialist | SW3855 (Florida) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Clark Pennell, PHD 3959 S Nova Rd, Suite 5, Port Orange, FL 32127-9278 Ph: (386) 761-2390 | Dr Robert Clark Pennell, PHD 3959 S Nova Rd, Suite 5, Port Orange, FL 32127-9278 Ph: (386) 761-2390 |
Dr. David Mcgrath Baldwin Jr., PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1772 Mitchell Ct, Port Orange, FL 32128 Phone: 802-558-4246 | |
Trecia Jean Hall, CNA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5400 Coraci Blvd Apt 7202, Port Orange, FL 32128 Phone: 352-718-4888 | |
Dr. Patricia E. Hunter, PSYD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 6444 Longlake Dr, Port Orange, FL 32128 Phone: 760-899-5930 | |
John Walter Patrick, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4643 S Clyde Morris Blvd, Suite 306, Port Orange, FL 32129 Phone: 386-761-3101 |