Pennebaker, Robert

Pennebaker, Robert is an sole proprietor health care provider with primary practice located at 2931 Breezewood Ave Ste 104 , Fayetteville NC 28303-5281. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Pennebaker, Robert can be contacted via phone (910) 491-1134.

Contact Information

Primary practice address
2931 Breezewood Ave Ste 104 Fayetteville NC 28303-5281
Phone: (910) 491-1134
Fax: (910) 491-9781
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C002032 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5005524 North Carolina

Profile Details

NPI number 1609957505
LBN Legal business name Pennebaker, Robert
Credentials PMHNP-BC, LCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2006
Last updated Sep 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers