Individual provider · Type 1 NPI

Kevin Jon Penner, CCC-SLP

Speech-Language Pathologist · Dalton Gardens, ID

NPI number 1982377073 Active

Practice location

6270 N Government Way
Dalton Gardens, ID 83815-9214

Call (208) 666-0611 Map

Fax (208) 664-0566

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP-4868 (ID)

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 1982377073

Kevin Jon Penner, CCC-SLP's National Provider Identifier is 1982377073, issued on Jul 26, 2021. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Dalton Gardens, ID. The record was last updated on Jul 26, 2021.