NPI Profile for Dr JESSICA PENA in CAMDEN, SC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1578807749 |
|
| Status | Active | |
| Credentials | PH.D. M.S. MED LPCS | |
| Entity | Individual | |
| Enumeration date | 11/12/2012 | |
| Last updated | 10/16/2025 - About 8 months ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JESSICA PENA
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