Provider Demographics
NPI:1518082668
Name:SANCHEZ, ABBEY WORLEY (MC, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:ABBEY
Middle Name:WORLEY
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MC, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4190 ORLEANS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-4738
Mailing Address - Country:US
Mailing Address - Phone:504-258-7915
Mailing Address - Fax:
Practice Address - Street 1:4190 ORLEANS AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-4738
Practice Address - Country:US
Practice Address - Phone:504-258-7915
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4601235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1-31753-5Medicaid