Elizabeth A Martin CCC-SLP

NPI 1245508910 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1245508910
Gender Female
Enumeration Date 12/08/2011
Last Updated 12/08/2011
Entity Type Individual
Active Over 4 years ago
Practice Location
12625 HIGH BLUFF DR STE 113
SAN DIEGO CA, 92130-2053, US
Phone (858) 488-4810
Fax
Business Location
1621 LA PLAYA AVE APT 23
SAN DIEGO CA, 92109-6473, US
Phone (586) 823-9587
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State California
License Number 19435
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According to our database, Elizabeth A Martin CCC-SLP NPI is 1245508910, taxonomy code is 235Z00000X and license number is 19435, license state is located at California. Elizabeth A Martin CCC-SLP physically located at 12625 High Bluff Dr Ste 113, San Diego CA, 92130-2053. NPI Number Elizabeth A Martin CCC-SLP has the Individual type.

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1245508910 NPI number is provided on an as is basis without warranty of any kind. 1245508910 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth A Martin CCC-SLP are for informational purposes only.