Provider Demographics
NPI:1770501504
Name:OCHOA MAYNARD, MARGARET ELVIRA (CCC-SLP)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:ELVIRA
Last Name:OCHOA MAYNARD
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9244 GATEWAY BLVD E STE A
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79907-1848
Mailing Address - Country:US
Mailing Address - Phone:915-213-5490
Mailing Address - Fax:915-213-3285
Practice Address - Street 1:9244 GATEWAY BLVD E STE A
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79907-1848
Practice Address - Country:US
Practice Address - Phone:915-213-5490
Practice Address - Fax:915-213-3285
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-18
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13377235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX005156701Medicaid