| Doctor Name: | MARANDA ROSE PENNINI |
| NPI Number: | 1417019290 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMHC |
| License Number: | 6269 |
| Business Practice Address: | 40 Mechanic St Suite 202 Foxboro, MA - 020352074 |
| Business Phone Number: | 5082039460 |
| Business Fax Number: | |
| Mailing Address: | 216 Lincoln St, FRANKLIN |
| State: | MA |
| Postal Code: | 020381587 |
| Phone Number: | 7815724669 |
| Fax Number: | |
| NPI Enumeration Date: | 12/15/2006 |
| NPI Last Update Date: | 03/31/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 6269 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |