Provider Demographics
NPI:1629650981
Name:PENNINGTON, BETH LYNN (AUD, CCC/A)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:LYNN
Last Name:PENNINGTON
Suffix:
Gender:F
Credentials:AUD, CCC/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2610 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15205-8704
Mailing Address - Country:US
Mailing Address - Phone:304-668-9258
Mailing Address - Fax:
Practice Address - Street 1:80 LANDINGS DR STE 207
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-9408
Practice Address - Country:US
Practice Address - Phone:724-225-8995
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-26
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201001840231H00000X
WVA-0382231H00000X
PAAT006738231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist