Individual
MRS. DENISE MARIE GERENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC/SLP
Contact information
Practice address
808 PIN OAK RD, STROUDSBURG, PA 18360-8334
(570) 688-0631
Mailing address
808 PIN OAK RD, STROUDSBURG, PA 18360-8334
(570) 688-0631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL-003594-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019274920003
MEDICAL ASSISTANCE
PA
Enumeration date
11/23/2005
Last updated
01/08/2010
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