Provider Demographics
NPI:1407199300
Name:ORTIZ, EDNA EDITH (BS SLP-A)
Entity Type:Individual
Prefix:
First Name:EDNA
Middle Name:EDITH
Last Name:ORTIZ
Suffix:
Gender:F
Credentials:BS SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6666 HARWIN DR STE 345
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2261
Mailing Address - Country:US
Mailing Address - Phone:713-429-1176
Mailing Address - Fax:832-252-9263
Practice Address - Street 1:6666 HARWIN DR STE 345
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2261
Practice Address - Country:US
Practice Address - Phone:713-429-1176
Practice Address - Fax:832-252-9263
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX368442355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant