Provider Demographics
NPI:1750075248
Name:OCHOA, BRENDA NATALIE (MS, SLP-INTERN)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:NATALIE
Last Name:OCHOA
Suffix:
Gender:F
Credentials:MS, SLP-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 N JACKSON RD. STE. 900
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-5764
Mailing Address - Country:US
Mailing Address - Phone:956-661-0475
Mailing Address - Fax:956-621-7518
Practice Address - Street 1:1201 N JACKSON RD. STE. 900
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-5764
Practice Address - Country:US
Practice Address - Phone:956-661-0475
Practice Address - Fax:956-621-7518
Is Sole Proprietor?:No
Enumeration Date:2023-06-07
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123168235Z00000X
TX413042355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant