Roibala L Sanchez, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Velarde, NM
NPI 1316099765 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1316099765
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 3880 (NM)
- Practice address
- Hwy 68 CR 41 Rd 1045 HS 45
Velarde, NM 87582-0009 - Phone
- (505) 920-9710
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3880 | NM | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 3880 | NM | Yes |
Addresses
Primary practice location
Hwy 68 CR 41 Rd 1045 HS 45
Velarde, NM 87582-0009
Mailing address
PO Box 9
Velarde, NM 87582-0009
Phone (505) 920-9710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34659714 | Medicaid | NM |
Other providers in Velarde, NM
- Hoy Recovery Program, Inc.
- Jose Julian Lopez
- Leslie Jean McDonald
- One Heart Doula Services, LLC
- Erika M Oviedo
All providers in Velarde, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.