Individual
HEATHER PENSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
245 S BROADWAY ST, NEW PHILADELPHIA, OH 44663-3842
(888) 908-1258
Mailing address
262 SCHOENBRUNN DR NE, NEW PHILADELPHIA, OH 44663-3275
(330) 204-6909
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP9633
OH
Other
Enumeration date
09/07/2014
Last updated
09/07/2014
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