| Doctor Name: | AMY PENA |
| NPI Number: | 1881949378 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., CCC, SLP |
| License Number: | 107177 |
| Business Practice Address: | 100 N Texas Ave Ste C Mercedes, TX - 785702723 |
| Business Phone Number: | 9565149990 |
| Business Fax Number: | 9565149996 |
| Mailing Address: | 595 W Sesame Dr, Ste 10 HARLINGEN |
| State: | TX |
| Postal Code: | 785507962 |
| Phone Number: | 9564285440 |
| Fax Number: | 9564283375 |
| NPI Enumeration Date: | 07/20/2012 |
| NPI Last Update Date: | 01/05/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 107177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |