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NPI Code Detail

MEDICARE: DESIREE HUTCHINGS PENN M.S., CCC-SLP

MEDICARE:   DESIREE HUTCHINGS PENN  M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSP23374CA
2235Z00000XSpeech-Language Pathologist14620TX

General Provider Information

NPI Number : 1588112775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE HUTCHINGS PENN M.S., CCC-SLP
Provider Business Mailing Address
First Line : 7324 SKILLMAN ST APT 2412
Second Line :
City : DALLAS
State : TX
Zip : 75231-8463
Country : US
Telephone Number : 214-476-0963
Fax Number :
Provider Business Practice Location Address
First Line : 7324 SKILLMAN ST APT 2412
Second Line :
City : DALLAS
State : TX
Zip : 75231-8463
Country : US
Telephone Number : 214-476-0963
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2016
Last Update Date : 09/15/2016

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Directions to “ DESIREE HUTCHINGS PENN M.S., CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.