Provider Demographics
NPI:1568948925
Name:RODRIGUEZ DE SANCHEZ, JESSICA (SLP-INTERN)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:RODRIGUEZ DE SANCHEZ
Suffix:
Gender:F
Credentials:SLP-INTERN
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:MAIDALY
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:SLPA
Mailing Address - Street 1:125 E HARVEY ST
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501-9442
Mailing Address - Country:US
Mailing Address - Phone:956-579-7709
Mailing Address - Fax:855-280-5424
Practice Address - Street 1:125 E HARVEY ST
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-9442
Practice Address - Country:US
Practice Address - Phone:956-579-7709
Practice Address - Fax:855-280-5424
Is Sole Proprietor?:No
Enumeration Date:2018-07-18
Last Update Date:2021-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX357012355S0801X
TX117989235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant