location
search-icon
person
Dr. Frederick W. Penza, EDD
Health Service Psychologist in Andover, Massachusetts
NPI 1720143381

Frederick W. Penza is a Health Service Psychologist based in Andover, MA and is specialized in Health Service. 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 (Massachusetts).

The current practice location address for Frederick W. Penza is 6 Enfield Dr, Andover, MA and can be reached out via phone at 978-475-6169.

Location: 6 Enfield Dr, Andover, MA, 01810-6021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
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
Fax Number
Provider Enumeration Date
12/26/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0505366 05 MA
WO1265 01 MA BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
6 Enfield Dr
City
Andover
State
Massachusetts
Zip
01810-6021
Phone Number
978-475-6169
Fax Number
person
Provider Business Mailing Address Details
Address
6 Enfield Dr
City
Andover
State
Massachusetts
Zip
01810-6021
Phone Number
978-475-6169
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
871 (Massachusetts)
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.