Penny Louise Haver, SLPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SLPA12172 Issued in AZ

Practice address

21630 N 19TH Ave Ste B3
Phoenix, AZ 85027-2717

Phone

(602) 726-2322

NPI assigned

Dec 9, 2019

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Penny Louise Clemens Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1720625734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 E SOUTHERN AVE # 210",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852825814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21630 N 19TH AVE STE B3",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272717",
            "telephone_number": "602-726-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVER",
        "first_name": "PENNY",
        "middle_name": "LOUISE",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA12172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "CLEMENS",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haven of Phoenix, LLC
• Havenhands PLLC
• Courtney Jane Havens-Mitchell, ATC
• Pamela F. Havens, PH.D.
• Scott Andrew Havens, MD
• Kayla Haverkamp
• Joshua Haverland, M.D
• Katie Carol Hawk, COTA
• Lisa Hawk, M.S.W., L.I.S.W.
• Tanner Dean Hawk, PT, DPT, CSCS

• Speech-Language Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.