| Doctor Name: | ELEANOR TOUISELLE MARTINO |
| NPI Number: | 1235275405 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A., CCC-SLP |
| License Number: | 2202004561 |
| Business Practice Address: | 4107 Lafayette Blvd Suite 3 Fredericksburg, VA - 224084266 |
| Business Phone Number: | 5402207501 |
| Business Fax Number: | 5404791422 |
| Mailing Address: | 320 Tulip Pl, FREDERICKSBURG |
| State: | VA |
| Postal Code: | 224081559 |
| Phone Number: | 7037386472 |
| Fax Number: | 7036525425 |
| NPI Enumeration Date: | 01/29/2007 |
| NPI Last Update Date: | 11/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202004561 |
| 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 |