Katilyn Penrod's National Provider Identifier (NPI) Details
Katilyn Penrod, LMFT
NPI: 1093422958
Enumeration Date: 2022-11-01
Last updated: 2024-09-25
Sole Proprietor: YES
Status: active
Postal Address: PSC 400 BOX 4304, APO, AP
Phone:
Primary Practice Address: 233, DU-RI, PAENGSEONG-EUP, CENTERIUM #C401, PYEONGTEAK-SI, AP
Practice's phone: 103-280-5477