Doctor Name: | MS. EMIE ROSE PENAFIEL |
NPI Number: | 1992030282 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SZ4879 |
Business Practice Address: | 1215 E Orange St Lakeland, FL - 338015762 |
Business Phone Number: | 8638023800 |
Business Fax Number: | |
Mailing Address: | 4525 Brittany Heyworth Way, Apt. #303 LAKELAND |
State: | FL |
Postal Code: | 338133177 |
Phone Number: | 6146688653 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2009 |
NPI Last Update Date: | 11/10/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SZ4879 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |