Provider Demographics
NPI:1518399922
Name:SANCHEZ, LIZ N (THL)
Entity Type:Individual
Prefix:MS
First Name:LIZ
Middle Name:N
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:THL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 CALLE DR GONZALEZ
Mailing Address - Street 2:CALLE DR GONZALEZ 133
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-2633
Mailing Address - Country:US
Mailing Address - Phone:787-249-7352
Mailing Address - Fax:
Practice Address - Street 1:133 GONZALEZ
Practice Address - Street 2:1025
Practice Address - City:ISABELA
Practice Address - State:PR
Practice Address - Zip Code:00662
Practice Address - Country:UM
Practice Address - Phone:856-982-1974
Practice Address - Fax:856-982-1975
Is Sole Proprietor?:No
Enumeration Date:2013-08-07
Last Update Date:2013-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR030052355S0801X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR03005OtherSPEECH TERAPHY