Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. VIVIAN O. PENCEAL, TSHH, MSED
Active Sole ProprietorMRS. VIVIAN O. PENCEAL, TSHH, MSED is a Speech-Language Pathologist healthcare provider located in ROSEDALE, New York. NPI 1699034041 is currently active in the NPPES registry. Verify at CMS.
Speech-Language Pathologist · ROSEDALE, NY
Registration Details
- NPI Number
- 1699034041
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2012 (14.273570464706 yrs)
- Last Updated
- Jun 8, 2012
- Licenses
-
215490 (NY)215490 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25519 149TH AVE2ND FLOORROSEDALE, NY, 114222812Browse NY providers · Browse ZIP 11422
- Phone
- 9179223668
- Primary Specialty
-
Speech-Language Pathologist
235500000X
- Additional Specialty
- Specialist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.