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NPI Code Detail

MEDICARE: ROSA LINDA PENA MS,CCC-SLP

MEDICARE: ROSA LINDA PENA MS,CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist15547TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1293998YS1VOTHERTXMEDICARE

General Provider Information

NPI Number : 1477918555
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROSA LINDA PENA MS,CCC-SLP
Provider Business Mailing Address
First Line : 1351 N ZARAGOZA RD BLDG Q
Second Line :
City : EL PASO
State : TX
Zip : 79936-7902
Country : US
Telephone Number : 915-704-4065
Fax Number : 915-704-4067
Provider Business Practice Location Address
First Line : 1351 N ZARAGOZA RD BLDG Q
Second Line :
City : EL PASO
State : TX
Zip : 79936-7902
Country : US
Telephone Number : 915-704-4065
Fax Number : 915-704-4067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2015
Last Update Date : 04/23/2026

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Directions to “ ROSA LINDA PENA MS,CCC-SLP” Practice Location

Language Start Address Practice Location
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