Individual
MRS. KATEISA ANN PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2800 E AJO WAY, TUCSON, AZ 85713-6204
(520) 874-2278
Mailing address
2560 N CALLE NOCHE, TUCSON, AZ 85749-9317
(520) 528-3244
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
12141697
CO
235Z00000X
Speech-Language Pathologist
Primary
SLP6785
AZ
Other
Enumeration date
11/11/2008
Last updated
10/17/2018
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