MEDICARE: SITV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1225826928
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SITV

Provider Business Mailing Address
First Line	:	9051 ECHELON POINT DR UNIT 3014
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3222
Country	:	US
Telephone Number	:	484-378-2395
Fax Number	:

Provider Business Practice Location Address
First Line	:	9051 ECHELON POINT DR UNIT 3014
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-3222
Country	:	US
Telephone Number	:	484-378-2395
Fax Number	:

Authorized Official
Title or Position	:	SLP (OWNER)
Name	:	MOCHECHE ONSOTI
Credential	:	M.S.,CCC-SLP
Telephone Number	:	484-378-2395

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	04/30/2025

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Directions to “SITV ” Practice Location

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