Individual
JESSICA PENZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
10400 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3905
(856) 628-1429
Mailing address
10816 HARROW RD, PHILADELPHIA, PA 19154-3914
(856) 628-1429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011550
PA
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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