Individual
ALYSIA D. ORNELAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
220 W KORTSEN RD, CASA GRANDE, AZ 85122-5910
(520) 836-2111
Mailing address
580 W JAHNS CT, CASA GRANDE, AZ 85122-5124
(520) 461-4906
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA11535
SPEECH LANGUAGE PATHOLOGIST ASSISTANT
AZ
Enumeration date
02/01/2019
Last updated
02/01/2019
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