Individual
MISS ELIZABETH RENAE PENNEBAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17865 SOUTH VAIL RD, PICACHO, AZ 85141
(520) 466-7942
Mailing address
255 S KYRENE RD, #225, CHANDLER, AZ 85226-4437
(480) 329-5247
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6630
AZ
Other
Enumeration date
03/15/2010
Last updated
03/17/2010
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