Provider Demographics
NPI:1306558671
Name:OCHOA, ELBA PAULINA (SLPA)
Entity type:Individual
Prefix:
First Name:ELBA
Middle Name:PAULINA
Last Name:OCHOA
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1374 W FRONTAGE RD
Mailing Address - Street 2:
Mailing Address - City:RIO RICO
Mailing Address - State:AZ
Mailing Address - Zip Code:85648-6377
Mailing Address - Country:US
Mailing Address - Phone:520-375-8507
Mailing Address - Fax:520-375-5820
Practice Address - Street 1:131 CAMINO MARICOPA
Practice Address - Street 2:
Practice Address - City:RIO RICO
Practice Address - State:AZ
Practice Address - Zip Code:85648-1817
Practice Address - Country:US
Practice Address - Phone:520-375-8507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-19
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant