Provider Demographics
NPI:1144851015
Name:TENORIO, SABRYNA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:SABRYNA
Middle Name:
Last Name:TENORIO
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:SABRYNA
Other - Middle Name:
Other - Last Name:ROMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:919 N BOXWOOD DR APT 202
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1262
Mailing Address - Country:US
Mailing Address - Phone:708-781-8744
Mailing Address - Fax:
Practice Address - Street 1:170 S WOOD DALE RD
Practice Address - Street 2:
Practice Address - City:WOOD DALE
Practice Address - State:IL
Practice Address - Zip Code:60191-2294
Practice Address - Country:US
Practice Address - Phone:630-766-6336
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-30
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL242006530235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist