Provider Demographics
NPI:1255037503
Name:ORTIZ, ERIKA MICHELLE (MA CF-SLP)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:MICHELLE
Last Name:ORTIZ
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 1:201 MASS AVE NE STE C9
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4988
Mailing Address - Country:US
Mailing Address - Phone:202-544-5469
Mailing Address - Fax:
Practice Address - Street 1:201 MASS AVE NE STE C9
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4988
Practice Address - Country:US
Practice Address - Phone:202-544-5469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCSLPCF2000053235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty