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Mrs. Vivian O. Penceal, TSHH,MSED
Specialist in Rosedale, New York
NPI 1699034041

Vivian O. Penceal is a Specialist based in Rosedale, NY. Vivian O. Penceal practices in Rosedale, NY and has the professional credentials of TSHH,MSED. The NPI Number for Vivian O. Penceal is 1699034041 and holds a License No. 215490 (New York).

The current practice location address for Vivian O. Penceal is 25519 149Th Ave, Rosedale, NY and can be reached out via phone at 917-922-3668.

Location: 25519 149Th Ave, Rosedale, NY, 11422-2812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699034041
Provider Name
Vivian O. Penceal
Credential
TSHH,MSED
Provider Entity Type
Individual
Gender
Female
Address
25519 149Th Ave, Rosedale, NY, 11422-2812
Phone Number
917-922-3668
Fax Number
Provider Enumeration Date
05/04/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25519 149Th Ave
City
Rosedale
State
New York
Zip
11422-2812
Phone Number
917-922-3668
Fax Number
person
Provider Business Mailing Address Details
Address
25519 149Th Ave
City
Rosedale
State
New York
Zip
11422-2812
Phone Number
917-922-3668
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
215490 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
-
Taxonomy
235500000X
License No.
215490 (New York)
Definition
General classification identifying individuals who are trained on a specific piece of equipment or technical procedure.
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