Provider Demographics
NPI:1457854002
Name:ORNELAS, NATALIA (SLP-A)
Entity Type:Individual
Prefix:MS
First Name:NATALIA
Middle Name:
Last Name:ORNELAS
Suffix:
Gender:F
Credentials:SLP-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 SINGLETON BLVD APT 2464
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75212-4179
Mailing Address - Country:US
Mailing Address - Phone:214-909-7589
Mailing Address - Fax:
Practice Address - Street 1:320 SINGLETON BLVD APT 2464
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75212-4179
Practice Address - Country:US
Practice Address - Phone:214-909-7589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-09
Last Update Date:2018-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant