Provider Demographics
NPI:1255668265
Name:SANCHEZ, JAMIE M (MA)
Entity Type:Individual
Prefix:MRS
First Name:JAMIE
Middle Name:M
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:JAMIE
Other - Middle Name:M
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:8811 NORTHERN BLVD APT 609
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1690
Mailing Address - Country:US
Mailing Address - Phone:917-225-9984
Mailing Address - Fax:
Practice Address - Street 1:8811 NORTHERN BLVD APT 609
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1690
Practice Address - Country:US
Practice Address - Phone:917-225-9984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-11
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12111397235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist