Provider Demographics
NPI:1316619943
Name:PRIETO SANCHEZ, DANIA (MS, CCC-SLP)
Entity type:Individual
Prefix:
First Name:DANIA
Middle Name:
Last Name:PRIETO SANCHEZ
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:DANIA
Other - Middle Name:
Other - Last Name:PRIETO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, CCC-SLP
Mailing Address - Street 1:1979 ARAPAHO RD APT 3308
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-5410
Mailing Address - Country:US
Mailing Address - Phone:512-350-9963
Mailing Address - Fax:
Practice Address - Street 1:4500 HILLCREST RD STE 140
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-5419
Practice Address - Country:US
Practice Address - Phone:469-331-9933
Practice Address - Fax:469-305-7388
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117343235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX117343OtherTEXAS DEPARTMENT OF LICENSING AND REGULATION
14308896OtherAMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION