Provider Demographics
NPI:1972056067
Name:SANCHEZ, SAMANTHA (AUD)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:SAMANTHA
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:SAMANTHA SANCHEZ AUD
Mailing Address - Street 1:1630 E SHAW AVE STE 124
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-8109
Mailing Address - Country:US
Mailing Address - Phone:559-448-5640
Mailing Address - Fax:559-448-5667
Practice Address - Street 1:1630 E SHAW AVE STE 124
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-8109
Practice Address - Country:US
Practice Address - Phone:559-448-5640
Practice Address - Fax:559-448-5667
Is Sole Proprietor?:No
Enumeration Date:2016-07-26
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist