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

Elizabeth Botts Penrod, MSCCC/SLP

Individual provider Speech-Language Pathologist · NPI 1922720382

Elizabeth Botts Penrod, MSCCC/SLP is a Speech-Language Pathologist in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2022

Practice location Address checks out

857 SE Forgal St
Port Saint Lucie, FL 34983-2781
Phone: (772) 631-9366
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SA6836 (FL)

Record details

NPI number1922720382
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSCCC/SLP
Sole proprietorYes
NPI enumeratedSeptember 13, 2022
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022

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