Doctor Name: | MARTHA EVERS MAULDIN |
NPI Number: | 1306196068 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED.,CCC-SLP |
License Number: | 8662 |
Business Practice Address: | 582 Farringdom St Lumberton, NC - 283582615 |
Business Phone Number: | 9107351101 |
Business Fax Number: | 9107351103 |
Mailing Address: | 715 Oakland Rd, SAINT PAULS |
State: | NC |
Postal Code: | 283847420 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/10/2012 |
NPI Last Update Date: | 09/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8662 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |