Doctor Name: | MRS. STEPHANIE LIZ MARTIR-HOUCK |
NPI Number: | 1205030996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MCD, CCC, SLP |
License Number: | 2202004888 |
Business Practice Address: | 6401 Auburn Dr Virginia Beach, VA - 234643601 |
Business Phone Number: | 7574201485 |
Business Fax Number: | |
Mailing Address: | 2428 Pitchfork Way, VIRGINIA BEACH |
State: | VA |
Postal Code: | 234566024 |
Phone Number: | 7572704305 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004888 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
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 |