Provider Demographics
NPI:1457899502
Name:ALBELO ORTIZ, STEPHANIE (THL)
Entity type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:
Last Name:ALBELO ORTIZ
Suffix:
Gender:F
Credentials:THL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1565 CALLE SANTIAGO OPPENHEIMER
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00728-3905
Mailing Address - Country:US
Mailing Address - Phone:787-539-5749
Mailing Address - Fax:
Practice Address - Street 1:CARR 132 KM 22 7
Practice Address - Street 2:REPARTO VALLE ALEGRE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00731
Practice Address - Country:US
Practice Address - Phone:787-651-7691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-09
Last Update Date:2017-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR70622355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant