Provider Demographics
NPI:1093096216
Name:OROZCO, MYRNA ROCHELLE (MS CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:MYRNA
Middle Name:ROCHELLE
Last Name:OROZCO
Suffix:
Gender:F
Credentials:MS CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3129 BRIARY TRACE CT
Mailing Address - Street 2:
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76210-8686
Mailing Address - Country:US
Mailing Address - Phone:940-597-7678
Mailing Address - Fax:
Practice Address - Street 1:3129 BRIARY TRACE CT
Practice Address - Street 2:
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76210-8686
Practice Address - Country:US
Practice Address - Phone:940-597-7678
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist