Provider Demographics
NPI:1043778483
Name:SANCHEZ, VANESSA F (BS-SLPA)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:F
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:BS-SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:541 VENTURA AVE
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92879-1135
Mailing Address - Country:US
Mailing Address - Phone:951-233-1223
Mailing Address - Fax:
Practice Address - Street 1:11870 PIERCE ST
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-4402
Practice Address - Country:US
Practice Address - Phone:951-808-5850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-05
Last Update Date:2019-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52982355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant