| Doctor Name: | PENNY J MOERS |
| NPI Number: | 1033389770 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 3920 |
| Business Practice Address: | 250 Alpine Dr Shelbyville, KY - 400658880 |
| Business Phone Number: | 5026335683 |
| Business Fax Number: | |
| Mailing Address: | 101 W Muhammad Ali Blvd, LOUISVILLE |
| State: | KY |
| Postal Code: | 402021423 |
| Phone Number: | 5025898600 |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2008 |
| NPI Last Update Date: | 03/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |