Healthcare Provider Details

I. General information

NPI: 1942936737
Provider Name (Legal Business Name): LAUREN SANCHEZ SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2022
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 E WARNER RD STE 105
GILBERT AZ
85296-3055
US

IV. Provider business mailing address

720 N YOUNG
MESA AZ
85203-6531
US

V. Phone/Fax

Practice location:
  • Phone: 480-820-0462
  • Fax:
Mailing address:
  • Phone: 712-898-0232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP13154
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: