Individual provider · Type 1 NPI
Vivian O. Penceal, TSHH, MSED
Speech/Language/Hearing Specialist/Technologist · Rosedale, NY
NPI number
1699034041
Active
Practice location
25519 149th Ave, 2nd Floor
Rosedale, NY 11422-2812
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech/Language/Hearing Specialist/Technologist Primary | 235500000X | 215490 (NY) |
| Specialist | 174400000X | 215490 (NY) |
Speech/Language/Hearing Specialist/Technologist: General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
About NPI 1699034041
Vivian O. Penceal, TSHH, MSED's National Provider Identifier is 1699034041, issued on May 4, 2012. The primary taxonomy on file is Speech/Language/Hearing Specialist/Technologist (235500000X), and the practice location is in Rosedale, NY. The record was last updated on Jun 8, 2012.