Individual
MRS. TIFFANY MARIE ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1202 S 1ST ST, LOVINGTON, NM 88260-5638
(505) 850-2765
Mailing address
1202 S 1ST ST, LOVINGTON, NM 88260-5638
(505) 850-2765
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5034
NM
Other
Enumeration date
10/11/2011
Last updated
10/11/2011
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