Provider Demographics
NPI:1265868004
Name:SANCHEZ, GLENDYS PANS (SLP)
Entity type:Individual
Prefix:MS
First Name:GLENDYS
Middle Name:PANS
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2744 W 74TH TER
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5430
Mailing Address - Country:US
Mailing Address - Phone:786-556-4668
Mailing Address - Fax:
Practice Address - Street 1:2744 W 74TH TER
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5430
Practice Address - Country:US
Practice Address - Phone:786-556-4668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSA 13128261QD1600X, 235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities