Provider Demographics
NPI:1952705626
Name:MEDINA SANCHEZ, ANA (MS, CCC-SLP)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:MEDINA SANCHEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16146 HARBOR MIST ALY
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4455
Mailing Address - Country:US
Mailing Address - Phone:787-221-5994
Mailing Address - Fax:
Practice Address - Street 1:FIRST STEP THERAPY LLC
Practice Address - Street 2:606 SOUTH 9TH STREET
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748
Practice Address - Country:US
Practice Address - Phone:800-378-7597
Practice Address - Fax:877-399-5578
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-09
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLSA13359235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist