Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sandra Custodio, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1366109761

Sandra Custodio, CCC-SLP is a Speech-Language Pathologist in Mesquite, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

3020 Poteet Dr
Mesquite, TX 75150-4762
Phone: (972) 882-7233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 113901 (TX)

Record details

NPI number1366109761
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorNo
NPI enumeratedNovember 19, 2021
Last updated in NPPESNovember 19, 2021
Certification dateNovember 3, 2021
Mailing address804 Cauble Dr, Fate, TX 75087-6779

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