MICHELLE PENGILLY ED.D.
NPI 1225668908
Counselor - School in Exeter, CA
Active since January 22, 2020
About Michelle Pengilly Ed.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE PENGILLY ED.D. (NPI 1225668908) is an individual school provider in Exeter, California and active in the NPI registry since January 2020.
NPPES Registry Identity
NPI1225668908
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameMICHELLE PENGILLYCredential: ED.D.
Location Address1230 N ANDERSON RDExeter, CA 93221-9674
Mailing Address1230 N Anderson RdExeter, CA 93221-9674
Phone(559) 594-4855
Sole ProprietorNo
Enumeration DateJanuary 22, 2020
✔ NPI 1225668908 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
1230 N ANDERSON RD, Exeter, CA 93221
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225668908, enumerated as an "individual" on January 22, 2020.
The provider is located at 1230 N ANDERSON RD EXETER, CA 93221 and the phone number is (559) 594-4855.
Counselor with taxonomy code 101YS0200X and a focus in School.
