NPI 1457825770

Tia Leanne Petrenko, MSCCCSLP

Practitioner Speech-Language Pathologist Fpo, AP

Practice location

Address: Psc 475 Box 1, Fpo, AP 96350-1200
Phone: (315) 243-7260

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

Other Speech-Language Pathologist providers in Armed Forces Pacific →

Registry record

NPI: 1457825770
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jan 2019
Record last updated: 3 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.