Individual
MS. DESIREE MARIAH PENKUNAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1910 RECTOR RD, PARAGOULD, AR 72450-2004
(870) 240-8900
Mailing address
1812 WOODLAND DR, PARAGOULD, AR 72450-4022
(870) 215-3715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
200951
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200951
PROVISIONAL AR LICENSE SPEECH PATHOLOGY
AR
Enumeration date
01/08/2020
Last updated
05/01/2025
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