Doctor Name: | MRS. PENNYE L WEST |
NPI Number: | 1902913353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED. |
License Number: | |
Business Practice Address: | 947 County Road 1835 Yantis, TX - 754974707 |
Business Phone Number: | 9033833186 |
Business Fax Number: | 9033832851 |
Mailing Address: | 947 County Road 1835, YANTIS |
State: | TX |
Postal Code: | 754974707 |
Phone Number: | 9033833186 |
Fax Number: | 9033832851 |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |