Provider Demographics
NPI:1023615358
Name:INOA SANCHEZ, CHARLINE GISSETTE (CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:CHARLINE
Middle Name:GISSETTE
Last Name:INOA SANCHEZ
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:CHARLINE
Other - Middle Name:GISSETTE
Other - Last Name:INOA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CCC-SLP
Mailing Address - Street 1:338 RICHBELL RD APT C2
Mailing Address - Street 2:
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543-3253
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:338 RICHBELL RD APT C2
Practice Address - Street 2:
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543-3253
Practice Address - Country:US
Practice Address - Phone:646-269-8723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist