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

MS. Earlyn Dorothy Pengelly, MA, MS

Individual provider Clinical Psychologist · NPI 1710004163

MS. Earlyn Dorothy Pengelly, MA, MS is a Clinical Psychologist in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

430 Patterson Ave
Mankato, MN 56001-2309
Phone: (507) 388-5801
Fax: (507) 388-2715
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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 LP1114 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 4137 (MN)

Record details

NPI number1710004163
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , MS
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESSeptember 11, 2025

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