MEDICARE: GENEVIEVE OCARIZA MA

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	235Z00000X	Speech-Language Pathologist	SP-1693	NV

General Provider Information

NPI Number	:	1881007698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GENEVIEVE OCARIZA MA

Provider Business Mailing Address
First Line	:	7604 CANOPY CT
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-0462
Country	:	US
Telephone Number	:	808-772-2831
Fax Number	:

Provider Business Practice Location Address
First Line	:	3213 W CHARLESTON BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-1962
Country	:	US
Telephone Number	:	702-570-6222
Fax Number	:	702-570-6234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2014
Last Update Date	:	05/04/2017

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Directions to “ GENEVIEVE OCARIZA MA” Practice Location

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