Doctor Name: | HEATHER PENSO |
NPI Number: | 1801297015 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SP9633 |
Business Practice Address: | 245 S Broadway St New Philadelphia, OH - 446633842 |
Business Phone Number: | 8889081258 |
Business Fax Number: | |
Mailing Address: | 262 Schoenbrunn Dr Ne, NEW PHILADELPHIA |
State: | OH |
Postal Code: | 446633275 |
Phone Number: | 3302046909 |
Fax Number: | |
NPI Enumeration Date: | 09/07/2014 |
NPI Last Update Date: | 09/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SP9633 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |