DR. CHARLES PENGRA, PH.D.
Psychologist
Active
Individual
NPI: 1093738619
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | Yes | PSY 6754 (CA) |
Frequently Asked Questions
NPI 1093738619 is the National Provider Identifier for DR. CHARLES PENGRA, PH.D., a Psychologist provider located in Santa Rosa, CA. This NPI was enumerated on July 25, 2006.
DR. CHARLES PENGRA, PH.D. practices at 722 SPRING ST, STE. 1, Santa Rosa, CA 95404.
Quick Facts
- NPI
- 1093738619
- Type
- Individual
- Enumerated
- Jul 25, 2006
- Last Updated
- Jul 8, 2007
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