Provider Demographics
NPI:1518163823
Name:CORTEZ, ANA DELIA (MA,CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:DELIA
Last Name:CORTEZ
Suffix:
Gender:F
Credentials:MA,CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2111 GRENVILLE ST
Mailing Address - Street 2:UNIT #3B
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-6994
Mailing Address - Country:US
Mailing Address - Phone:708-602-0489
Mailing Address - Fax:
Practice Address - Street 1:2111 GRENVILLE ST
Practice Address - Street 2:UNIT #3B
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032
Practice Address - Country:US
Practice Address - Phone:708-602-0489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-23
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146007247235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist