Individual
DR. AISHAH YAASMEEN ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., CCC-SLP
Contact information
Practice address
1405 INTERNATIONAL MALL, SPEECH BLDG. ROOM 158, LAS CRUCES, NM 88003-1279
(575) 646-7687
(575) 646-7712
Mailing address
P.O. BOX 30001/MSC 3SPE, LAS CRUCES, NM 88003-8001
(575) 646-7687
(575) 646-7712
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4694
NM
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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