Individual
CRISTELLA PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1611 HEADWAY CIR BLDG 2, AUSTIN, TX 78754-5165
(512) 478-2581
(512) 476-1638
Mailing address
1611 HEADWAY CIR BLDG 2, AUSTIN, TX 78754-5165
(512) 478-2581
(512) 476-1638
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
110413
TX
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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