Doctor Name: | AMY MARTIN |
NPI Number: | 1588627665 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M. ED., CCC-SLP |
License Number: | 2202002228 |
Business Practice Address: | 1912 Memorial Ave Lynchburg, VA - 245011708 |
Business Phone Number: | 4348458765 |
Business Fax Number: | |
Mailing Address: | Po Box 2492, APPOMATTOX |
State: | VA |
Postal Code: | 245222492 |
Phone Number: | 4342583976 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202002228 |
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 |