Dr. Martin B Pennington II
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
101 Avenida Serra
San Clemente
, California 92672-4760
Dr. Martin B Pennington II
Clinical Psychologist Addiction Psychologist (Substance Use Disorder)
101 Avenida Serra
San Clemente
, California 92672-4760
(949) 510-3845
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Dr. Martin B Pennington II
- 503 Monterey Ln Apartment D
- San Clemente, CA
- Zip : 92672-5340
- Phone : (949) 510-3845
Second Address
- Dr. Martin B Pennington II
- 101 Avenida Serra
- San Clemente, CA
- Zip : 92672-4760
- Phone : (949) 510-3845
Reviews
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Is Dr. Martin B Pennington II a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | PSB26001 | CA |
| N | 103G00000X | Clinical Psychologist | PSB26011 | CA |
| N | 103TC0700X | Clinical Psychologist | PSB26011 | CA |
National Provider Identifier
| NPI | 1225136880 |
|---|---|
| Provider Name | Dr. Martin B Pennington II |
| First Address | San Clemente, CA 92672-5340 |
| Second Address | San Clemente, CA 92672-4760 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.