Individual ProviderCristella PenaSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165(512) 478-2581PECOS EnrollmentBased on the most recent information from CMS, provider Cristella Pena does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1518368786Provider TypeIndividualFull NamePena, CristellaCredentialSLPGenderFemaleSole ProprietorNoEnumeration Date9/8/2014Last Updated9/8/2014Contact InformationPractice LocationPractice Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165Phone(512) 478-2581Fax(512) 476-1638Mailing LocationMailing Address1611 Headway Cir Bldg 2, Austin, TX 78754-5165Phone(512) 478-2581Fax(512) 476-1638Provider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense110413Texas