Individual
MRS. AMY KRISTINE PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
101 REESE DR, RED OAK, TX 75154-2376
(469) 552-0500
Mailing address
102 WOLF RIDGE CT, WAXAHACHIE, TX 75165-0014
(214) 991-2827
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103610
TX
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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