| Doctor Name: | EKATERINA V STERKHOVA-ORTIZ |
| NPI Number: | 1023474517 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LMLP |
| License Number: | 2620 |
| Business Practice Address: | 519 S Elm St Garnett, KS - 660321420 |
| Business Phone Number: | 7854486806 |
| Business Fax Number: | 7854486960 |
| Mailing Address: | 304 N Jefferson Ave, Po Box 807 IOLA |
| State: | KS |
| Postal Code: | 667492327 |
| Phone Number: | 6203658641 |
| Fax Number: | 6203658642 |
| NPI Enumeration Date: | 01/13/2016 |
| NPI Last Update Date: | 01/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2620 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |