Provider Demographics
NPI:1578200051
Name:HUERTA, YOLANDA ORTIZ (MD)
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:ORTIZ
Last Name:HUERTA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5746 W 5300 S
Mailing Address - Street 2:
Mailing Address - City:HOOPER
Mailing Address - State:UT
Mailing Address - Zip Code:84315-6741
Mailing Address - Country:US
Mailing Address - Phone:801-458-4284
Mailing Address - Fax:
Practice Address - Street 1:5746 W 5300 S
Practice Address - Street 2:
Practice Address - City:HOOPER
Practice Address - State:UT
Practice Address - Zip Code:84315-6741
Practice Address - Country:US
Practice Address - Phone:801-458-4284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-17
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist