Doctor Name: | DR. STEPHANIE ANNE MARTIN |
NPI Number: | 1295910123 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 30611 |
Business Practice Address: | 983 Nw Spruce Ave Corvallis, OR - 973302111 |
Business Phone Number: | 5417532068 |
Business Fax Number: | 5417535392 |
Mailing Address: | 983 Nw Spruce Ave, CORVALLIS |
State: | OR |
Postal Code: | 973302111 |
Phone Number: | 5417532068 |
Fax Number: | 5417535392 |
NPI Enumeration Date: | 01/09/2008 |
NPI Last Update Date: | 01/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 30611 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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 |