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Contact Information

CANDICE PENNELLA, PSY.D.
230 NORTH ROAD
PHP/DOOR #1
POUGHKEEPSIE, NY12601
 Phone: 845-486-2784
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CANDICE PENNELLA · (Female)

NPI # 1194856336
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 03/08/2007
Last updated 04/14/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 017921
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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