Provider Demographics
NPI:1184869687
Name:STARR, ORALEA ANGELINA (MA CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ORALEA
Middle Name:ANGELINA
Last Name:STARR
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:ELIZABETH
Other - Last Name:GOTTLIEB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA CCC-SLP
Mailing Address - Street 1:135 AUBURN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-6231
Mailing Address - Country:US
Mailing Address - Phone:808-250-8539
Mailing Address - Fax:
Practice Address - Street 1:135 AUBURN AVE
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-6231
Practice Address - Country:US
Practice Address - Phone:808-250-8539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HISP-846235Z00000X
CASP 18937235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist