Provider Demographics
NPI:1225826928
Name:SITV
Entity type:Organization
Organization Name:SITV
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SLP (OWNER)
Authorized Official - Prefix:
Authorized Official - First Name:MOCHECHE
Authorized Official - Middle Name:
Authorized Official - Last Name:ONSOTI
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:484-378-2395
Mailing Address - Street 1:9051 ECHELON POINT DR UNIT 3014
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-3222
Mailing Address - Country:US
Mailing Address - Phone:484-378-2395
Mailing Address - Fax:
Practice Address - Street 1:9051 ECHELON POINT DR UNIT 3014
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-3222
Practice Address - Country:US
Practice Address - Phone:484-378-2395
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech