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

Individual provider Speech-Language Pathologist · NPI 1194159756

Jessica Penza, CCC-SLP is a Speech-Language Pathologist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2013.

Licensed in
PA
In the registry since
2013
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

10400 Roosevelt Blvd
Philadelphia, PA 19116-3905
Phone: (856) 628-1429
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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 SL011550 (PA)

Record details

NPI number1194159756
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedAugust 30, 2013
Last updated in NPPESAugust 30, 2013

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