Phyllis R Penkethman, MS, CCC-SLP
Speech-Language Pathologist, in Wall Township, New Jersey
1083493381- Practice location
- 3349 Hwy 138, Wall Township, NJ 07719-9671
- Phone
- 732-280-6050
- Fax
- —
- Last updated
- September 26, 2023
Phyllis R Penkethman is a Speech-Language Pathologist, based in Wall Township, NJ. Phyllis R Penkethman practices in Wall Township, NJ and has the professional credentials of MS, CCC-SLP. The NPI Number for Phyllis R Penkethman is 1083493381 and holds a License No. YS001121 (NJ). The current practice location address for Phyllis R Penkethman is 3349 Hwy 138, Wall Township, NJ 07719-9671 and can be reached out via phone at 732-280-6050.
Provider Profile Details
- NPI Number
- 1083493381
- Provider Name
- Phyllis R Penkethman
- Credential
- MS, CCC-SLP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3349 Hwy 138, Wall Township, NJ 07719-9671
- Phone Number
- 732-280-6050
- Primary Taxonomy
- Speech-Language Pathologist, · 235Z00000X
- Sole Proprietor
- Yes
- Other Names
- Phyllis M Rinehart, MS, CCC-SLP (Former Name)
- Provider Enumeration Date
- September 26, 2023
- Last Update Date
- September 26, 2023
- Certification Date
- September 26, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3349 Hwy 138
Wall Township, NJ 07719-9671 - City
- Wall Township
- State
- New Jersey
- Zip
- 07719-9671
- Phone Number
- 732-280-6050
Provider Business Mailing Address Details
- Address
- Po Box 213
Manasquan, NJ 08736-0213 - City
- Manasquan
- State
- NJ
- Zip
- 08736-0213
- Phone Number
- 908-773-0752
License Information
- License Number
- YS001121
- License State
- NJ
- Taxonomy
- Speech-Language Pathologist, · 235Z00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Speech-Language Pathologist, providers near Wall Township, NJ
View all Speech-Language Pathologist, providers in Wall Township →- Alexandra MaloneSpeech-Language Pathologist, · NPI 1073080628
- Avery Ingold, MS, CCC-SLPSpeech-Language Pathologist, · NPI 1891520326
- Barbara FavrettoSpeech-Language Pathologist, · NPI 1649178914
- Cristine Buehler, SLPSpeech-Language Pathologist, · NPI 1669900767
- Danielle CarlsonSpeech-Language Pathologist, · NPI 1952025066
- Hailee PorricelliSpeech-Language Pathologist, · NPI 1972297984
Frequently Asked Questions
What is the NPI number of Phyllis R Penkethman, MS, CCC-SLP?
The NPI number of Phyllis R Penkethman, MS, CCC-SLP is 1083493381. It was assigned on September 26, 2023 and is currently active in the NPPES registry.
What is the specialty of Phyllis R Penkethman, MS, CCC-SLP?
Phyllis R Penkethman, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in NJ under license number YS001121.
Where does Phyllis R Penkethman, MS, CCC-SLP practice?
The practice location is 3349 Hwy 138, Wall Township, NJ 07719-9671. The office can be reached at 732-280-6050 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083493381 directly on the NPPES registry website.