| Doctor Name: | MRS. MARTHA JEAN O'BRIEN |
| NPI Number: | 1669465456 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS SLP/CCC |
| License Number: | 2202001292 |
| Business Practice Address: | 1412 W 3rd St Farmville, VA - 239012648 |
| Business Phone Number: | 4343921596 |
| Business Fax Number: | 4343925201 |
| Mailing Address: | Po Box 468, FARMVILLE |
| State: | VA |
| Postal Code: | 239010468 |
| Phone Number: | 4343924910 |
| Fax Number: | 4343928793 |
| NPI Enumeration Date: | 08/26/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 2202001292 |
| 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 |