Physician Compare National (NPI:1891837464)

HEALTHCARE PROVIDER: SANDRA DENISE VELASQUEZ AU.D., CCC-A

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1891837464
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4082892138
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110621000235
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SCHICK
	Individual professional last name
Provider First Name	SANDRA
	Individual professional first name
Provider Middle Name	DENISE
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	AT STILL UNIVERSITY, ARIZONA SCHOOL OF DENTISTRY & ORAL HLTH
	Individual professional's medical school
Graduation Year	2006
	Individual professional's medical school graduation year
Primary Specialty	QUALIFIED AUDIOLOGIST
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	216 BUFKIN LN
	Group Practice or individual's line 1 address
City	LOCKHART
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	786444006
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y