Individual
LAURE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
132 ABBA WAY, TAYLORS, SC 29687-2375
(516) 286-2351
Mailing address
132 ABBA WAY, TAYLORS, SC 29687-2375
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
020677-1
NY
Other
Enumeration date
10/21/2011
Last updated
11/08/2021
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