Active NPIIndividual providerSole proprietor

Dr. Frederick W Penza, EDD

Psychologist, Health Service in Andover, Massachusetts

NPI Number1720143381
Practice location
6 Enfield Dr, Andover, MA 01810-6021
Fax
—
Last updated
July 9, 2007

Frederick W. Penza is a Psychologist, Health Service based in Andover, MA. Frederick W. Penza practices in Andover, MA and has the professional credentials of EDD. The NPI Number for Frederick W. Penza is 1720143381 and holds a License No. 871 (MA). The current practice location address for Frederick W. Penza is 6 Enfield Dr, Andover, MA 01810-6021 and can be reached out via phone at 978-475-6169.

Provider Profile Details

NPI Number
1720143381
Provider Name
Frederick W. Penza
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
6 Enfield Dr, Andover, MA 01810-6021
Phone Number
978-475-6169
Primary Taxonomy
Psychologist, Health Service · 103TH0100X
Sole Proprietor
Yes
Provider Enumeration Date
December 26, 2006
Last Update Date
July 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Enfield Dr
Andover, MA 01810-6021
Zip
01810-6021
Phone Number
978-475-6169
Andover, MA 01810Get directions →

Provider Business Mailing Address Details

Address
6 Enfield Dr
Andover, MA 01810-6021
City
Andover
State
MA
Zip
01810-6021
Phone Number
978-475-6169

License Information

License Number
871
License State
MA
Taxonomy
Psychologist, Health Service · 103TH0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Frederick W Penza, EDD?

The NPI number of Dr. Frederick W Penza, EDD is 1720143381. It was assigned on December 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Frederick W Penza, EDD?

Dr. Frederick W Penza, EDD is registered under the primary taxonomy Psychologist, Health Service (code 103TH0100X), licensed in MA under license number 871.

Where does Dr. Frederick W Penza, EDD practice?

The practice location is 6 Enfield Dr, Andover, MA 01810-6021. The office can be reached at 978-475-6169 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1720143381 directly on the NPPES registry website.

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