Individual
MACKENZIE RENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
95-128 KIPAPA DR APT 404, MILILANI, HI 96789-1174
(949) 292-1465
Mailing address
95-128 KIPAPA DR APT 404, MILILANI, HI 96789-1174
(949) 292-1465
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2071
HI
235Z00000X
Speech-Language Pathologist
SP29106
CA
Other
Enumeration date
05/27/2020
Last updated
03/10/2025
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