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Mr. Kevin Jon Penner, CCC-SLP
Speech-Language Pathologist in Dalton Gardens, Idaho
NPI 1982377073

Kevin Jon Penner is a Speech-Language Pathologist based in Dalton Gardens, ID. Kevin Jon Penner practices in Dalton Gardens, ID and has the professional credentials of CCC-SLP. The NPI Number for Kevin Jon Penner is 1982377073 and holds a License No. SLP-4868 (Idaho).

The current practice location address for Kevin Jon Penner is 6270 N Government Way, Dalton Gardens, ID and can be reached out via phone at 208-666-0611 and via fax at 208-664-0566.

Location: 6270 N Government Way, Dalton Gardens, ID, 83815-9214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982377073
Provider Name
Kevin Jon Penner
Credential
CCC-SLP
Provider Entity Type
Individual
Gender
Male
Address
6270 N Government Way, Dalton Gardens, ID, 83815-9214
Phone Number
208-666-0611
Fax Number
208-664-0566
Provider Enumeration Date
07/26/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6270 N Government Way
City
Dalton Gardens
State
Idaho
Zip
83815-9214
Phone Number
208-666-0611
Fax Number
208-664-0566
person
Provider Business Mailing Address Details
Address
6270 N Government Way
City
Dalton Gardens
State
Idaho
Zip
83815-9214
Phone Number
208-666-0611
Fax Number
208-664-0566
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Speech-Language Pathologist
Speciality
-
Taxonomy
235Z00000X
License No.
SLP-4868 (Idaho)
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
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