Provider Demographics
NPI:1417793928
Name:SEDA SANCHEZ, TATIANA MARIE (SLPA)
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:MARIE
Last Name:SEDA SANCHEZ
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 ALDEN WAY UNIT 1043
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2476
Mailing Address - Country:US
Mailing Address - Phone:787-424-0116
Mailing Address - Fax:
Practice Address - Street 1:2400 ROUND RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-1001
Practice Address - Country:US
Practice Address - Phone:410-396-1379
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00924A2355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant