Individual
PENNIE IANNACCHIONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4375 APOLLO DR, CARSON CITY, NV 89706-1359
(775) 813-5193
Mailing address
4375 APOLLO DR, CARSON CITY, NV 89706-1359
(775) 813-5193
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL762
NV
Other
Enumeration date
11/03/2014
Last updated
11/03/2014
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