Provider Demographics
NPI:1700537693
Name:PENA ARTEAGA, ELIA (SLPA)
Entity Type:Individual
Prefix:
First Name:ELIA
Middle Name:
Last Name:PENA ARTEAGA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10315 N 23RD LN
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-6315
Mailing Address - Country:US
Mailing Address - Phone:956-224-0009
Mailing Address - Fax:
Practice Address - Street 1:800 E DOVE AVE STE E
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-2263
Practice Address - Country:US
Practice Address - Phone:956-618-1242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-12
Last Update Date:2022-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant