Individual
MS. JANICE L. ORSAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECH-LANGUAGE PATH
Contact information
Practice address
610 WOODLAND AVE NW, ALBUQUERQUE, NM 87107-1254
(505) 341-2253
Mailing address
610 WOODLAND AVE NW, ALBUQUERQUE, NM 87107-1254
(505) 341-2253
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
455
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z1883
—
NM
Enumeration date
11/27/2006
Last updated
07/08/2007
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