Doctor Name: | IVANNA ORTIZ |
NPI Number: | 1518352475 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A, CCC-SLP |
License Number: | SA 13609 |
Business Practice Address: | 2153 Coral Way 602 Coral Gables, FL - 331452631 |
Business Phone Number: | 3058561999 |
Business Fax Number: | 3058567600 |
Mailing Address: | 2153 Coral Way, 602 CORAL GABLES |
State: | FL |
Postal Code: | 331452631 |
Phone Number: | 3058561999 |
Fax Number: | 3058567600 |
NPI Enumeration Date: | 03/30/2015 |
NPI Last Update Date: | 03/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SA 13609 |
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 |