MEDICARE: MS. NATALIA ORNELAS SLP-A

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	2355S0801X	Speech-Language Assistant		TX

General Provider Information

NPI Number	:	1457854002
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. NATALIA ORNELAS SLP-A

Provider Business Mailing Address
First Line	:	320 SINGLETON BLVD APT 2464
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75212-4179
Country	:	US
Telephone Number	:	214-909-7589
Fax Number	:

Provider Business Practice Location Address
First Line	:	320 SINGLETON BLVD APT 2464
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75212-4179
Country	:	US
Telephone Number	:	214-909-7589
Fax Number	:

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

Provider Enumeration Date	:	03/09/2018
Last Update Date	:	03/09/2018

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