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

Individual provider Clinical Psychologist · NPI 1518081462

David R Penner, PHD is a Clinical Psychologist in Mountlake Terrace, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

21907 64th Ave W Ste 220
Mountlake Terrace, WA 98043-6200
Phone: (425) 640-9777
Fax: (425) 640-5122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY00000896 (WA)

Record details

NPI number1518081462
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedMarch 18, 2007
Last updated in NPPESAugust 2, 2013
Mailing addressPo Box 60014, Seattle, WA 98160-0014

Other providers in Mountlake Terrace