Individual
ADRIANA ELIZABETH PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 CALLE DEL NORTE, LAREDO, TX 78041
(956) 722-6221
Mailing address
511 VALDOSA, LAREDO, TX 78043-5006
(956) 740-5252
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
3421
CA
2355S0801X
Speech-Language Assistant
38612
TX
235Z00000X
Speech-Language Pathologist
Primary
114682
TX
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
11/10/2015
Last updated
06/24/2018
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