SearchIdaho235Z00000X

Heather Penske, MS, CCC-SLP

NPI 1164765251 · on the registry since 2013 · sole proprietor

Practice

Address
1397 North Biztown Loop
Hayden, ID 83835
Phone
(208) 762-3502

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho