Provider Demographics
NPI:1518132620
Name:PEKENIA, DARLENE L (HIS)
Entity Type:Individual
Prefix:
First Name:DARLENE
Middle Name:L
Last Name:PEKENIA
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 JONES RD
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02540-2958
Mailing Address - Country:US
Mailing Address - Phone:508-548-8123
Mailing Address - Fax:508-548-2929
Practice Address - Street 1:1421 ORLEANS RD
Practice Address - Street 2:
Practice Address - City:E HARWICH
Practice Address - State:MA
Practice Address - Zip Code:02645-2148
Practice Address - Country:US
Practice Address - Phone:508-432-1222
Practice Address - Fax:508-430-8686
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA49237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist