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

Mrs. Tia Leanne Petrenko, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1457825770

Mrs. Tia Leanne Petrenko, MS, CCC-SLP is a Speech-Language Pathologist in FPO, Armed Forces Pacific. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X

Record details

NPI number1457825770
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJanuary 20, 2019
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

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