Provider Demographics
NPI:1316607179
Name:MARENTETTE, DAYNA RAE (CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:DAYNA
Middle Name:RAE
Last Name:MARENTETTE
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:DAYNA
Other - Middle Name:RAE
Other - Last Name:DUNNEBACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:8471 COLUMBIA RD
Mailing Address - Street 2:
Mailing Address - City:MAINEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:45039-1748
Mailing Address - Country:US
Mailing Address - Phone:513-398-8050
Mailing Address - Fax:
Practice Address - Street 1:8471 COLUMBIA RD
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-1748
Practice Address - Country:US
Practice Address - Phone:513-398-8050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-21
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist