Provider Demographics
NPI:1891515318
Name:OROPEZA, KATELYN
Entity type:Individual
Prefix:
First Name:KATELYN
Middle Name:
Last Name:OROPEZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6507 OCEAN CREST DR APT 205
Mailing Address - Street 2:
Mailing Address - City:RANCHO PALOS VERDES
Mailing Address - State:CA
Mailing Address - Zip Code:90275-5448
Mailing Address - Country:US
Mailing Address - Phone:215-255-5763
Mailing Address - Fax:
Practice Address - Street 1:6507 OCEAN CREST DR APT 205
Practice Address - Street 2:
Practice Address - City:RANCHO PALOS VERDES
Practice Address - State:CA
Practice Address - Zip Code:90275-5448
Practice Address - Country:US
Practice Address - Phone:215-255-5763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA37009235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist