Doctor Name: | HEATHER ORTIZ |
NPI Number: | 1003279076 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC |
License Number: | SA 14448 |
Business Practice Address: | 323 Pine Shadow Ln Lake Mary, FL - 327464822 |
Business Phone Number: | 4074612733 |
Business Fax Number: | |
Mailing Address: | 323 Pine Shadow Ln, LAKE MARY |
State: | FL |
Postal Code: | 327464822 |
Phone Number: | 4074612733 |
Fax Number: | |
NPI Enumeration Date: | 03/29/2016 |
NPI Last Update Date: | 03/29/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 14448 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |