Provider Demographics
NPI:1609913714
Name:HINOJOSA ORTIZ, LORENA (MS- CF-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LORENA
Middle Name:
Last Name:HINOJOSA ORTIZ
Suffix:
Gender:F
Credentials:MS- CF-SLP
Other - Prefix:MISS
Other - First Name:LORENA
Other - Middle Name:
Other - Last Name:HINOJOSA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:56 PIEDMONT DR APT 194B
Mailing Address - Street 2:
Mailing Address - City:PORT JEFFERSON STATION
Mailing Address - State:NY
Mailing Address - Zip Code:11776-1136
Mailing Address - Country:US
Mailing Address - Phone:631-828-5809
Mailing Address - Fax:
Practice Address - Street 1:33 WALT WHITMAN RD
Practice Address - Street 2:300B
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-3640
Practice Address - Country:US
Practice Address - Phone:631-385-7780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist