Individual provider · Type 1 NPI
Kimberly Penza, SLPA
Speech-Language Assistant · Mattoon, IL
NPI number
1073371704
Active
Practice location
31 Greenbriar Dr
Mattoon, IL 61938-9011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | None listed |
Speech-Language Assistant: Definition to come...
About NPI 1073371704
Kimberly Penza, SLPA's National Provider Identifier is 1073371704, issued on Mar 7, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Mattoon, IL. The record was last updated on Mar 7, 2024.