Individual provider · Type 1 NPI
Sorrell Grace Penick, BS, SLPA
Speech-Language Assistant · Bunnell, FL
NPI number
1285543611
Active
Practice location
5540 Chestnut Avenue
Bunnell, FL 32110
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | SI9087 (FL) |
Speech-Language Assistant: Definition to come...
About NPI 1285543611
Sorrell Grace Penick, BS, SLPA's National Provider Identifier is 1285543611, issued on Sep 2, 2026. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Bunnell, FL. The record was last updated on Sep 2, 2026.