Individual
JENNIFER LYNNE PENARANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
210 TOWN CENTER DR, TROY, MI 48084-1774
(248) 643-8900
Mailing address
375 VIRGINIA CT, CANTON, MI 48187-3972
(631) 816-9611
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7101004808
MI
Other
Enumeration date
10/16/2016
Last updated
02/22/2020
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