NPI 1962424812

Susan Michelle Penza-Clyve, PHD

Practitioner Clinical Psychologist Yarmouth, ME

Practice location

Address: 40 Forest Falls Dr STE 316, Yarmouth, ME 04096-7010
Phone: (207) 756-4278
Mailing address: 110 Marginal Way # 285, Portland, ME 04101-2442

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PS 1193 (ME)

Other Psychologist providers in Maine →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1193 (ME)

Registry record

NPI: 1962424812
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jul 2006
Record last updated: 13 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.