Provider Demographics
NPI:1750190666
Name:GALVAN, SADEE LILIA (SLPA)
Entity type:Individual
Prefix:
First Name:SADEE
Middle Name:LILIA
Last Name:GALVAN
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:383 N WILMOT RD APT 106B
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-2673
Mailing Address - Country:US
Mailing Address - Phone:818-620-8833
Mailing Address - Fax:
Practice Address - Street 1:383 N WILMOT RD APT 106B
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2673
Practice Address - Country:US
Practice Address - Phone:818-620-8833
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-06
Last Update Date:2025-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP158582355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty