Desiree Pena
NPI 1821580911ActiveIndividual· Speech-Language Pathologist· Bangor, ME
Speech-Language Pathologist in Bangor, Maine, licensed in ME, with an NPI issued in June 2018. Enrolled in Medicare as practitioner - qualified speech language pathologist.
Overview
| NPI | 1821580911 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jun 4, 2018 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SP2939 | ME |
| Speech-Language Pathologist | 235Z00000X | ST2814 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (ME) |
|---|
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
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All 48 speech-language pathologists in Bangor · All speech-language pathologists in Maine