Doctor Name: | ALICE SAN MARTINO |
NPI Number: | 1942571302 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | LL 60254871 |
Business Practice Address: | 19401 40th Ave W Ste 310 Lynnwood, WA - 980364612 |
Business Phone Number: | 4255822473 |
Business Fax Number: | |
Mailing Address: | 18101 194th Ave Ne, WOODINVILLE |
State: | WA |
Postal Code: | 980775745 |
Phone Number: | 4253618474 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2012 |
NPI Last Update Date: | 01/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | LL 60254871 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |