Individual
PAIGE ELAINA PENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7101 NEWPORT AVE, NORFOLK, VA 23505-3999
(757) 451-4154
Mailing address
1093 HONEYCUTT WAY, VIRGINIA BEACH, VA 23464-8934
(757) 217-7555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2204000099
VA
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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