Individual
AMANDA LEE PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 N WARE RD, MCALLEN, TX 78501-3517
(956) 686-3437
Mailing address
2805 FOUNTAIN PLAZA BLVD, EDINBURG, TX 78539-8031
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
33606
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1739435-01
—
TX
Enumeration date
02/03/2010
Last updated
05/16/2011
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