Individual provider · Type 1 NPI

Phyllis R. Penkethman, M.S., CCC-SLP

Speech-Language Pathologist · Wall Township, NJ

NPI number 1083493381 Active

Practice location

3349 Hwy 138
Wall Township, NJ 07719-9671

Call (732) 280-6050 Map

Mailing address

PO Box 213
Manasquan, NJ 08736-0213

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XYS001121 (NJ)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1083493381

Phyllis R. Penkethman, M.S., CCC-SLP's National Provider Identifier is 1083493381, issued on Sep 26, 2023. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Wall Township, NJ. The record was last updated on Sep 26, 2023.