Healthcare Provider Details

I. General information

NPI: 1043147739
Provider Name (Legal Business Name): GABRIELA SANCHEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 W CAMELBACK RD STE 450
PHOENIX AZ
85015-3474
US

IV. Provider business mailing address

4627 N 92ND AVE
PHOENIX AZ
85037-1328
US

V. Phone/Fax

Practice location:
  • Phone: 602-601-2401
  • Fax:
Mailing address:
  • Phone: 602-545-5007
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA16289
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: