Lajuana Ortizarchibald, CCC-SLP, TSSSH
Speech-Language Pathologist, in Staten Island, NY. Individual provider (NPI-1).
NPI number1508300872
StatusActive
Last updated in NPPESDec 16, 2016
Details
- NPI
- 1508300872
- Entity type
- Individual (NPI-1)
- Name
- Lajuana Ortizarchibald
- Credential
- CCC-SLP, TSSSH
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2016
- Last updated
- Dec 16, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | 012075 | NY | Yes |
Practice location
780 Post AveStaten Island, NY 10310-1927
Phone 718-442-3860
Mailing address
8 Palmer AveStaten Island, NY 10302-2103
Phone 347-417-2274
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