Jennifer Rose Penquite, MS
Individual provider Active NPI Speech-Language Pathologist · Laverne, OK
NPI 1194042952 · NPPES record last updated Mar 19, 2024
Key facts
- NPI
- 1194042952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 615 Jane Jayroe
Laverne, OK 73848 - Phone
- (580) 921-5025
- NPI assigned
- May 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | OK | Yes |
Addresses
Primary practice location
615 Jane Jayroe
Laverne, OK 73848
Mailing address
17744 Ew 23 Rd
Laverne, OK 73848
Phone (405) 614-0696
Other providers in Laverne, OK
- Laverne Public Schools
- Timothy Legg
- Shelley K Noble
- Northwest Center for Behavioral Health
- Karla Paola Pacheco Salazar
- Western Plains Youth & Family Services, Inc.
All providers in Laverne, OK · Speech-Language Pathologist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.