Provider Demographics
NPI:1275831125
Name:SANCHEZ, DIANA Y (SLP)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:Y
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5207 BREWSTER DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78043-9782
Mailing Address - Country:US
Mailing Address - Phone:956-701-2021
Mailing Address - Fax:
Practice Address - Street 1:201 LINDENWOOD DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-2429
Practice Address - Country:US
Practice Address - Phone:956-473-2047
Practice Address - Fax:956-473-2097
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-02
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX106438235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX454858Medicare UPIN