Provider Demographics
NPI:1376907907
Name:ORTIZ, JILL ANN (MS)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:ANN
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:
Other - Last Name:SCHAGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:799 FAIRVIEW AVE APT C
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21403-2941
Mailing Address - Country:US
Mailing Address - Phone:814-335-2328
Mailing Address - Fax:
Practice Address - Street 1:799 FAIRVIEW AVE APT C
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21403-2941
Practice Address - Country:US
Practice Address - Phone:814-335-2328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-10
Last Update Date:2021-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06625235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist