Organization
MACKENZIE RENNER MS CCC-SLP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MACKENZIE RENNER MS CCC-SLP (OWNER AND LEAD SLP)
(949) 292-1465
Entity
Organization
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
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/19/2025
Last updated
04/19/2025
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