Provider Demographics
NPI:1831509652
Name:ORTEAGA, SYLVIA A (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:A
Last Name:ORTEAGA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 PASEO NUEVO DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79928-5796
Mailing Address - Country:US
Mailing Address - Phone:915-342-3399
Mailing Address - Fax:
Practice Address - Street 1:12200 PASEO NUEVO DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79928-5796
Practice Address - Country:US
Practice Address - Phone:915-342-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15721235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist