Provider Demographics
NPI:1043825888
Name:PENAROZA, SONIA ANNA (AUD)
Entity type:Individual
Prefix:DR
First Name:SONIA
Middle Name:ANNA
Last Name:PENAROZA
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 RANCH ROAD 620 S STE 203
Mailing Address - Street 2:
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-5633
Mailing Address - Country:US
Mailing Address - Phone:737-279-1194
Mailing Address - Fax:
Practice Address - Street 1:1008 RANCH ROAD 620 S STE 203
Practice Address - Street 2:
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-5633
Practice Address - Country:US
Practice Address - Phone:737-279-1194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-09
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4829231H00000X
MA231H00000X
TX81444231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist