Provider Demographics
NPI:1194955187
Name:STONE-ORTIZ, WENDY LYNN (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LYNN
Last Name:STONE-ORTIZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:MISS
Other - First Name:WENDY
Other - Middle Name:LYNN
Other - Last Name:STONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:7835 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 4 118
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89139-6455
Mailing Address - Country:US
Mailing Address - Phone:702-682-8611
Mailing Address - Fax:702-991-4216
Practice Address - Street 1:7835 S RAINBOW BLVD
Practice Address - Street 2:SUITE 4 118
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89139-6455
Practice Address - Country:US
Practice Address - Phone:702-682-8611
Practice Address - Fax:702-991-4216
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP 1044235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist