| Doctor Name: | MRS. MARTHA JEAN WHITTAKER |
| NPI Number: | 1619996634 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS CCC-SLP |
| License Number: | 15231 |
| Business Practice Address: | 7835 Hill Rd Granite Bay, CA - 957466954 |
| Business Phone Number: | 6505756719 |
| Business Fax Number: | |
| Mailing Address: | 7835 Hill Rd, GRANITE BAY |
| State: | CA |
| Postal Code: | 957466954 |
| Phone Number: | 6505756719 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2006 |
| NPI Last Update Date: | 10/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 15231 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |