| Mr Jon Michael Penton, MA, LP | |
|
22551 Dodge Ct, Faribault, MN 55021-8479 | |
| (612) 701-9255 | |
| Not Available |
| Full Name | Mr Jon Michael Penton |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 22551 Dodge Ct, Faribault, Minnesota |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467769190 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | LP0749 (Minnesota) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jon Michael Penton, MA, LP Po Box 953, Faribault, MN 55021-0953 Ph: (612) 701-9255 | Mr Jon Michael Penton, MA, LP 22551 Dodge Ct, Faribault, MN 55021-8479 Ph: (612) 701-9255 |
Gerald Duane Gregersen, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 State Ave, Faribault, MN 55021 Phone: 507-334-3921 Fax: 507-332-5297 | |
David Morris Hall, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 303 1st Ave Ne, Faribault, MN 55021 Phone: 507-333-5044 | |
Hollis Wunderlich, LPCC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 Central Ave N, Faribault, MN 55021 Phone: 507-491-4848 Fax: 507-323-8141 | |
Melissa Gonzalez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1815 Legacy Dr, Faribault, MN 55021 Phone: 507-210-7304 | |
Heather Breitbach, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 615 Olof Hanson Dr, Faribault, MN 55021 Phone: 507-400-6088 | |
Ellen Hodges Saul, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14781 Bagley Ave, Faribault, MN 55021 Phone: 507-334-9117 Fax: 507-334-9127 |