Provider Demographics
NPI:1992869473
Name:PENNING, MARYN (LPC, NCC, MED)
Entity type:Individual
Prefix:MRS
First Name:MARYN
Middle Name:
Last Name:PENNING
Suffix:
Gender:F
Credentials:LPC, NCC, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:378 GLEN MILLS RD
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:PA
Mailing Address - Zip Code:19373-1080
Mailing Address - Country:US
Mailing Address - Phone:484-401-9932
Mailing Address - Fax:
Practice Address - Street 1:378 GLEN MILLS RD
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:PA
Practice Address - Zip Code:19373-1080
Practice Address - Country:US
Practice Address - Phone:484-401-9932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPA006822101YM0800X, 101YP2500X
PAPC006822101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional