Kathryn Penfold M., Sc, LLC

NPI #1205223468 in Traverse City, Michigan

Provider Information

NPI Number: 1205223468
Entity Type: Organization
Organization Name: Kathryn Penfold M., Sc, LLC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Apr 24, 2015
Last Updated: Apr 24, 2015

Practice Location

Address: 820 W FRONT ST
City: Traverse City
State: Michigan
ZIP Code: 49684-2466
Phone: (231) 590-6242

Authorized Official

Name: KATHRYN J PENFOLD, M, SC
Title: SOLE MEMBER
Phone: (231) 590-6242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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