Doctor Name: | MS. ELIZABETH ANNE MARTIN |
NPI Number: | 1134426117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 25 Fifth Ave Haskell, NJ - 074201075 |
Business Phone Number: | 9738396000 |
Business Fax Number: | 9738395226 |
Mailing Address: | 25 Fifth Ave, HASKELL |
State: | NJ |
Postal Code: | 074201075 |
Phone Number: | 9738396000 |
Fax Number: | 9738395226 |
NPI Enumeration Date: | 02/28/2011 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |