Provider Demographics
NPI:1336420843
Name:ORLANDO, ANNALY HOWLAND (MA, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:ANNALY
Middle Name:HOWLAND
Last Name:ORLANDO
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:ANNALY
Other - Middle Name:
Other - Last Name:LAKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:737 SAN FELIPE TRL
Mailing Address - Street 2:
Mailing Address - City:HASLET
Mailing Address - State:TX
Mailing Address - Zip Code:76052-2974
Mailing Address - Country:US
Mailing Address - Phone:805-235-8496
Mailing Address - Fax:
Practice Address - Street 1:737 SAN FELIPE TRL
Practice Address - Street 2:
Practice Address - City:HASLET
Practice Address - State:TX
Practice Address - Zip Code:76052-2974
Practice Address - Country:US
Practice Address - Phone:805-235-8496
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-30
Last Update Date:2016-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASP 23420235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist