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Individual
MS. VICTORIA PENN
Active
Individual
MS. VICTORIA PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA 10710
FL
235Z00000X
Speech-Language Pathologist
SL003512L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01101838
AMERICAN SPEECH-LNAGUAGE-HEARING ASSOCIATION
MD
01
—
SA 10710
STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE
FL
01
—
SL003512L
BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
PA
Enumeration date
06/04/2010
Last updated
01/10/2011
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