Provider Demographics
NPI:1205562592
Name:OCHOA, NATALIE MARIE (MA, CF-SLP)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:MARIE
Last Name:OCHOA
Suffix:
Gender:F
Credentials:MA, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10057 BRANDON CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32836-3710
Mailing Address - Country:US
Mailing Address - Phone:305-799-8838
Mailing Address - Fax:
Practice Address - Street 1:1311 MINNESOTA AVENUE
Practice Address - Street 2:SUITE C
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32789
Practice Address - Country:US
Practice Address - Phone:407-303-1575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-28
Last Update Date:2022-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10719235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist