Jennifer Lynne Penaranda, CCC-SLP
Speech-Language Pathologist, in Troy, MI. Individual provider (NPI-1).
NPI number1154872018
StatusActive
Last updated in NPPESFeb 22, 2020
Details
- NPI
- 1154872018
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Lynne Penaranda
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 16, 2016
- Certification date
- Feb 22, 2020
- Last updated
- Feb 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 7101004808 | MI | Yes |
Practice location
210 Town Center DrTroy, MI 48084-1774
Phone 248-643-8900
Mailing address
375 Virginia CtCanton, MI 48187-3972
Phone 631-816-9611
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All 114 Speech-Language Pathologist providers in Troy · All 5,227 providers in Troy
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