Individual
MRS. JANET KAY PENNINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
501 VALLEY VIEW BLVD, ALTOONA, PA 16602-6410
(814) 944-5014
(814) 944-6500
Mailing address
3409 BAKER BLVD, ALTOONA, PA 16602-1825
(814) 946-1354
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL000500L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023490012
—
PA
Enumeration date
12/11/2006
Last updated
07/08/2007
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