Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PENNY ANGEL MATA, MEDICAL ASSISTANT
ActivePENNY ANGEL MATA, MEDICAL ASSISTANT is a Speech-Language Pathologist healthcare provider located in CALDWELL, Idaho. NPI 1518601020 is currently active in the NPPES registry. Verify at CMS.
Speech-Language Pathologist · CALDWELL, ID
Registration Details
- NPI Number
- 1518601020
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 21, 2022 (4.3095846413306 yrs)
- Last Updated
- Apr 21, 2022
Practice Information
- Address
-
4521 THOMAS JEFFERSON STCALDWELL, ID, 836055100Browse ID providers · Browse ZIP 83605
- Phone
- 2084544820
- Fax
- 2084544859
- Primary Specialty
-
Speech-Language Pathologist
235500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.