Provider Demographics
NPI:1053998815
Name:ORLANDA, CRISTELA MARIE
Entity type:Individual
Prefix:
First Name:CRISTELA
Middle Name:MARIE
Last Name:ORLANDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1918 GRAYFALCON DR
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-4442
Mailing Address - Country:US
Mailing Address - Phone:757-763-9517
Mailing Address - Fax:
Practice Address - Street 1:680 KINGSBOROUGH SQ STE B
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4988
Practice Address - Country:US
Practice Address - Phone:757-547-0264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-26
Last Update Date:2024-08-29
Deactivation Date:2024-06-09
Deactivation Code:
Reactivation Date:2024-08-27
Provider Licenses
StateLicense IDTaxonomies
VA0230032320183700000X
VA2204001404235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No183700000XPharmacy Service ProvidersPharmacy Technician