Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Penny Angel Mata, MEDICALASSISTANT

Individual provider Speech/Language/Hearing Specialist/Technologist · NPI 1518601020

Penny Angel Mata, MEDICALASSISTANT is a Speech/Language/Hearing Specialist/Technologist in Caldwell, Idaho. Registered with an NPI since 2022.

In the registry since
2022
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Practice location Address checks out

4521 Thomas Jefferson St
Caldwell, ID 83605-5100
Phone: (208) 454-4820
Fax: (208) 454-4859
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech/Language/Hearing Specialist/Technologist (primary) Taxonomy 235500000X

Record details

NPI number1518601020
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDICALASSISTANT
Sole proprietorNo
NPI enumeratedApril 21, 2022
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022