Provider Demographics
NPI:1992946552
Name:MESSINA, ORIA (SLP)
Entity type:Individual
Prefix:
First Name:ORIA
Middle Name:
Last Name:MESSINA
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:735 YALE DR
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-5284
Mailing Address - Country:US
Mailing Address - Phone:214-850-9370
Mailing Address - Fax:
Practice Address - Street 1:7704 MAPLERIDGE DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-3943
Practice Address - Country:US
Practice Address - Phone:214-566-2687
Practice Address - Fax:866-323-1955
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19821235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
12035457OtherNATIONAL CERTIFICATION