Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Marjorie Penning, PHDCCCSLP

Individual provider Speech-Language Pathologist · NPI 1912933896

Dr. Marjorie Penning, PHDCCCSLP is a Qualified Speech Language Pathologist in Grand Rapids, Michigan. Qualified in 1971, 55 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
55
Licensed in
MI
In the registry since
2006
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Practice location Address checks out

2716 E Paris Ave SE
Grand Rapids, MI 49546-6139
Phone: (616) 949-9531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 41-2108525 (MI)

Record details

NPI number1912933896
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHDCCCSLP
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESDecember 3, 2021
Certification dateDecember 3, 2021
Mailing address2716 E Paris Ave Se, Grand Rapids, MI 49546-6139

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 1971 (55 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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