Provider Demographics
NPI:1891837464
Name:VELASQUEZ, SANDRA DENISE (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:DENISE
Last Name:VELASQUEZ
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:DR
Other - First Name:SANDRA
Other - Middle Name:DENISE GETCHELL
Other - Last Name:SCHICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:216 BUFKIN LN
Mailing Address - Street 2:
Mailing Address - City:LOCKHART
Mailing Address - State:TX
Mailing Address - Zip Code:78644-4006
Mailing Address - Country:US
Mailing Address - Phone:512-398-4000
Mailing Address - Fax:512-582-8272
Practice Address - Street 1:216 BUFKIN LN
Practice Address - Street 2:
Practice Address - City:LOCKHART
Practice Address - State:TX
Practice Address - Zip Code:78644-4006
Practice Address - Country:US
Practice Address - Phone:512-398-4000
Practice Address - Fax:512-668-5100
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51738231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB128880Medicare PIN