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

Individual provider Speech-Language Pathologist · NPI 1679176440

Sandra San Jose, CCC-SLP is a Qualified Speech Language Pathologist in El Paso, Texas. Qualified in 2005, 21 years ago. Practices with Expressable Speech-Language Pathology PC, a 113-clinician group and accepts Medicare assignment. Licensed in Arizona, New Jersey and Texas.

Years since qualifying
21
Licensed in
AZ, NJ, TX
In the registry since
2020
Specialties on file
3
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

7859 Enchanted Path Dr
El Paso, TX 79911-7513
Phone: (732) 778-7018
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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 41YS00516600 (NJ)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence SLP12375 (AZ)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 117453 (TX)

Record details

NPI number1679176440
Entity typeIndividual (Type 1)
GenderFemale
Credentials CCC-SLP
Sole proprietorYes
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Expressable Speech-Language Pathology Pc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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