DAVINA-MARIE PENNE CCC-SLP
NPI 1669007902
Speech-Language Pathologist in Mount Horeb, WI

Active since March 06, 2020
210 S 1ST ST, MOUNT HOREB, WI 53572(608) 235-0521 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Davina-marie Penne Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVINA-MARIE PENNE CCC-SLP (NPI 1669007902) is an individual speech-language pathologist provider in Mount Horeb, Wisconsin, licensed in Wisconsin (4908) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1669007902
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameDAVINA-MARIE PENNECredential: CCC-SLP
Location Address210 S 1ST STMount Horeb, WI 53572-2117
Mailing Address210 S 1st StMount Horeb, WI 53572-2117 · (608) 235-0521
Sole ProprietorYes
Enumeration DateMarch 6, 2020
NPPES CertifiedMarch 6, 2020
NPI 1669007902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in WI · 4908
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

210 S 1ST ST, Mount Horeb, WI 53572

Other Names 1

Former Name (1)Davina-marie Gustafson

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davina-marie Penne's NPI number?

The NPI number for Davina-marie Penne is 1669007902. It was assigned to this individual provider in the NPPES registry on March 6, 2020. The provider is also known as Davina-Marie Gustafson.

Where is Davina-marie Penne located?

Davina-marie Penne practices at 210 S 1st St, Mount Horeb, WI 53572. The listed phone number is (608) 235-0521.

What is Davina-marie Penne's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Davina-marie Penne was last updated on March 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.