Doctor Name: | JULIE ANN MARTI |
NPI Number: | 1558507756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.-CCC/SLP |
License Number: | 014801 |
Business Practice Address: | 4318 Corporal Kennedy St Bayside, NY - 113612748 |
Business Phone Number: | 6462105462 |
Business Fax Number: | |
Mailing Address: | 13121 11th Ave # 4, COLLEGE POINT |
State: | NY |
Postal Code: | 113561957 |
Phone Number: | 7186406993 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2008 |
NPI Last Update Date: | 04/24/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 014801 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |