Ms. Earlyn Dorothy Pengelly is a Mankato, Minnesota based psychologist who is specialized in Clinical Psychology. Active license number of Ms. Earlyn Dorothy Pengelly is 4137 in Minnesota. Her current practice location is 430 Patterson Ave, Mankato. Patients can reach her at 507-388-5801 or can fax her at 507-388-2715. Ms. Earlyn Dorothy Pengelly is M.A., M.S. in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1710004163. Ms. Earlyn Dorothy Pengelly is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Ms. Earlyn Dorothy Pengelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Earlyn Dorothy Pengelly
Specialization:
Clinical Psychology
Gender:
Female
Credentials:
M.A., M.S.
Practice Address:
430 Patterson Ave, Mankato, Minnesota, 56001-2309
Phone:
507-388-5801
Fax:
507-388-2715
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1710004163
NPI Enumeration Date:
23 Mar, 2007
NPI Last Update On:
09 Jul, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Earlyn Dorothy Pengelly are as mentioned below.
License Number
Specialization
State
Status
4137
Minnesota
Primary
LP1114
Clinical Psychology
Minnesota
Secondary
4137
Social Worker
Minnesota
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Earlyn Dorothy Pengelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
57786PE
Other
Minnesota
BLUE CROSS BLUE SHIELD
120002
Other
Minnesota
UCARE INSURANCE
6120605
Other
Minnesota
MEDICA, UBH
HP28654
Other
Minnesota
HEALTH PARTNERS
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.