Provider Demographics
NPI:1912583121
Name:SANCHEZ, LUIS R (PHD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:R
Last Name:SANCHEZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1889 W QUEEN CREEK RD APT 1037
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85248-3084
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 W RAY RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-7260
Practice Address - Country:US
Practice Address - Phone:520-227-0928
Practice Address - Fax:480-452-0441
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-19
Last Update Date:2021-03-27
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist