Provider Demographics
NPI:1003395138
Name:OCHOA, KRISTAL (SLPA)
Entity Type:Individual
Prefix:
First Name:KRISTAL
Middle Name:
Last Name:OCHOA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1701 N ALTON BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:ALTON
Mailing Address - State:TX
Mailing Address - Zip Code:78573-1173
Mailing Address - Country:US
Mailing Address - Phone:956-890-3737
Mailing Address - Fax:800-442-5594
Practice Address - Street 1:1701 N ALTON BLVD STE 3
Practice Address - Street 2:
Practice Address - City:ALTON
Practice Address - State:TX
Practice Address - Zip Code:78573-1173
Practice Address - Country:US
Practice Address - Phone:956-890-3737
Practice Address - Fax:800-442-5594
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX369102355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant