Provider Demographics
NPI:1881007698
Name:OCARIZA, GENEVIEVE (MA)
Entity Type:Individual
Prefix:
First Name:GENEVIEVE
Middle Name:
Last Name:OCARIZA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:GENEVIEVE
Other - Middle Name:
Other - Last Name:CAGAOAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:7604 CANOPY CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-0462
Mailing Address - Country:US
Mailing Address - Phone:808-772-2831
Mailing Address - Fax:
Practice Address - Street 1:3213 W CHARLESTON BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-1962
Practice Address - Country:US
Practice Address - Phone:702-570-6222
Practice Address - Fax:702-570-6234
Is Sole Proprietor?:No
Enumeration Date:2014-06-09
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1693235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist