Panorama Speech Therapy, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PANORAMA SPEECH THERAPY, LLC

Practice address

10 Graham Ave N
Bangor, ME 04401-5815

Phone

(207) 808-2205

NPI assigned

Mar 12, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Desiree Pena, CCC-SLPNPI 1821580911

Title

Owner/Speech-Language Pathologist

Phone

(786) 925-2427

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Desiree Pena

  • Speech-Language Pathologist
  • Bangor, ME
  • NPI 1821580911
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650326400000",
    "number": "1013592815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 GRAHAM AVE N",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015815",
            "telephone_number": "786-925-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 GRAHAM AVE N",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044015815",
            "telephone_number": "207-808-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANORAMA SPEECH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER/SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "786-925-2427",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Palmer, LCSW
• Nathan Charles Paluso, DO
• Michael S Pancoe, M.D.
• Sanjay P Pandey, M.D.
• Stephanie Panella, NP
• David Pantino, M.D.
• Jaymie Fe Potenciano Panuncialman, M.D.
• Harini Pappu
• Nathan Adam Papsadora, PHARMD
• Kendra Marie Paradis, DO

• Speech-Language Pathologist in Bangor, ME
• Providers in Bangor, ME by specialty
• Speech-Language Pathologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.