Individual
ANDREA GABRIELA PENICHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15820 ADDISON RD, ADDISON, TX 75001-3549
(866) 919-3240
Mailing address
13566 BOIS DARC LN, FRISCO, TX 75035-0075
(214) 492-9677
(214) 492-9677
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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