Provider Demographics
NPI:1053178129
Name:SANCHEZ CORDOVA, AURI MARI
Entity type:Individual
Prefix:
First Name:AURI
Middle Name:MARI
Last Name:SANCHEZ CORDOVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9410 E RAY RD APT 261
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-9686
Mailing Address - Country:US
Mailing Address - Phone:805-668-3212
Mailing Address - Fax:
Practice Address - Street 1:2131 S 157TH AVE
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-3357
Practice Address - Country:US
Practice Address - Phone:623-772-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP124022355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant