Provider Demographics
NPI:1326424433
Name:SANDOVAL-PEREZ, SILVIA
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:SANDOVAL-PEREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SILVIA
Other - Middle Name:
Other - Last Name:SANDOVAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS SLPA
Mailing Address - Street 1:11237 E SANDOVAL AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-3215
Mailing Address - Country:US
Mailing Address - Phone:480-363-0477
Mailing Address - Fax:
Practice Address - Street 1:501 W RAY RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7284
Practice Address - Country:US
Practice Address - Phone:480-296-2363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-31
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA95542355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant