Organization Name: | ELEANOR MARTINO VOICE AND SPEECH PLLC |
NPI Number: | 1962774489 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELEANOR MARTINO (OWNER) |
Mailing Address: | 4107 Lafayette Blvd Suite 3 Fredericksburg |
State: | VA US |
Postal Code: | 224084266 |
Phone Number: | 5402207501 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2012 |
NPI Last Update Date: | 01/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2202004561 |
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 |