Individual
PENI J SATTERFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC SLP L
Contact information
Practice address
4543 CORMORANT DR, LAFAYETTE, IN 47909-8204
(765) 532-7420
(765) 477-9190
Mailing address
4543 CORMORANT DR, LAFAYETTE, IN 47909-8204
(765) 532-7420
(765) 477-9190
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004216A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000387861
ANTHEM PROVIDER NUMBER
IN
Enumeration date
03/21/2006
Last updated
07/08/2007
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