Provider Demographics
NPI:1558038562
Name:SANCHEZ, ESTEFANIA (MS CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ESTEFANIA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11572 WATERFORD CT
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026-3758
Mailing Address - Country:US
Mailing Address - Phone:954-643-7703
Mailing Address - Fax:
Practice Address - Street 1:11572 WATERFORD CT
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026-3758
Practice Address - Country:US
Practice Address - Phone:954-643-7703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA16568235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist