Heather Penske, MS, CCC-SLP

NPI #1164765251 in Hayden, Idaho

Provider Information

NPI Number
1164765251
Entity Type
Individual
Name
Heather Penske, MS, CCC-SLP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Speech-Language Pathologist
Credential
MS, CCC-SLP
Enumeration Date
Mar 27, 2013
Last Updated
Mar 27, 2013

Practice Location

Address
1397 NORTH BIZTOWN LOOP
City
Hayden
State
Idaho
ZIP Code
83835-5044
Phone
(208) 762-3502

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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