| Doctor Name: | MRS. BRENDA MARIE ORTLUND |
| NPI Number: | 1992859144 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | B.S. |
| License Number: | SLP LO633 |
| Business Practice Address: | 514 W Wade Ln Payson, AZ - 855414886 |
| Business Phone Number: | 9284725800 |
| Business Fax Number: | |
| Mailing Address: | 420 N Graham Ranch Rd, PAYSON |
| State: | AZ |
| Postal Code: | 855414123 |
| Phone Number: | 9284744278 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP LO633 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| 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 |