Doctor Name: | MISS JENNIFER ORTIZ |
NPI Number: | 1194015602 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLAP ASSISTANT |
License Number: | 35805 |
Business Practice Address: | 1011 W Frontage Rd # Spaj Alamo, TX - 785162300 |
Business Phone Number: | 9567876777 |
Business Fax Number: | 9567876778 |
Mailing Address: | 1011 W Frontage Rd # Spaj, ALAMO |
State: | TX |
Postal Code: | 785162300 |
Phone Number: | 9567876777 |
Fax Number: | 9567876778 |
NPI Enumeration Date: | 04/18/2011 |
NPI Last Update Date: | 04/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2355S0801X |
License Number: | 35805 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | Speech-Language Assistant |
Taxonomy Definition: |