HEATHER PENSKE

HAYDEN, ID
NPI1164765251
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: ID  SLP-1298)
Enumeration Date2013-03-27
Last Update Date2013-03-27
Business Address
-- HEATHER PENSKE MS, CCC-SLP
1397 NORTH BIZTOWN LOOP
HAYDEN, ID 83835-5044
Phone number: 208-762-3502
Mailing Address
-- HEATHER PENSKE MS, CCC-SLP
1397 NORTH BIZTOWN LOOP
HAYDEN, ID 83835-5043
Phone number: