Provider Demographics
NPI:1760366835
Name:PANGANIBAN, ANNA BELEN (CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:BELEN
Last Name:PANGANIBAN
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2027 RUE DE L'EGLISE
Mailing Address - Street 2:
Mailing Address - City:SAINT-LAURENT
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H4M 1E9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2027 RUE DE L'EGLISE
Practice Address - Street 2:
Practice Address - City:SAINT-LAURENT
Practice Address - State:QUEBEC
Practice Address - Zip Code:H4M 1E9
Practice Address - Country:CA
Practice Address - Phone:438-370-5352
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-02
Last Update Date:2025-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist