Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alicia Pennymon, CPRM

Individual provider Peer Specialist · NPI 1962055277

Alicia Pennymon, CPRM is a Peer Specialist in Detroit, Michigan. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

1121 E McNichols Rd
Detroit, MI 48203-2857
Phone: (313) 365-3141
Fax: (313) 365-3101
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1962055277
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPRM
Sole proprietorNo
NPI enumeratedJuly 17, 2019
Last updated in NPPESJuly 19, 2019

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