Individual
DR. MARJORIE PENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.C.C.C.SLP
Contact information
Practice address
2716 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6139
(616) 949-9531
Mailing address
2716 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6139
(616) 949-9531
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41-2108525
MI
Other
Enumeration date
06/23/2006
Last updated
12/03/2021
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