Provider Demographics
NPI:1225505910
Name:SANCHEZ, LAURA GABRIELLA (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:GABRIELLA
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 W 44TH PL APT 225
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-7468
Mailing Address - Country:US
Mailing Address - Phone:305-200-6980
Mailing Address - Fax:
Practice Address - Street 1:8181 NW 154TH ST STE 115
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-5861
Practice Address - Country:US
Practice Address - Phone:786-477-5783
Practice Address - Fax:305-512-8805
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-31
Last Update Date:2018-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ8898235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist