Provider Demographics
NPI:1831611631
Name:RENAUD, PAIGE ARDAN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:ARDAN
Last Name:RENAUD
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MS
Other - First Name:PAIGE
Other - Middle Name:ARDAN
Other - Last Name:KAMINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:27 WOODLAND CIR
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-3346
Mailing Address - Country:US
Mailing Address - Phone:610-329-5182
Mailing Address - Fax:
Practice Address - Street 1:27 WOODLAND CIR
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-3346
Practice Address - Country:US
Practice Address - Phone:610-329-5182
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASL013340235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist