Active NPI
Veronica Saenz Glenn, SLP
- Speech-Language Pathologist
- Chandler, AZ
National Provider Identifier
1255510079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP1338
- Practice address
- 1590 W Desert Broom Dr
Chandler, AZ 85248-3668 - Phone
- (480) 726-3404
- Fax
- (480) 963-3860
- NPI assigned
- Oct 29, 2007
- Last updated
- Oct 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP1338 | AZ | Primary |
Addresses
Primary practice location
1590 W Desert Broom Dr
Chandler, AZ 85248-3668
Mailing address
1590 W Desert Broom Dr
Chandler, AZ 85248-3668
Phone (480) 726-3404
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123456 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP1338 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1255510079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 W DESERT BROOM DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852483668",
"telephone_number": "480-726-3404",
"fax_number": "480-963-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 W DESERT BROOM DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852483668",
"telephone_number": "480-726-3404",
"fax_number": "480-963-3860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "VERONICA",
"middle_name": "SAENZ",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP1338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123456",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.