Susannah Elizabeth Martinez in Bangor - Speech-language Pathologist

Susannah Elizabeth Martinez - NPI 1902979610

Susannah Elizabeth Martinez is a Speech-language Pathologist in Bangor, Maine. Susannah Elizabeth Martinez practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Susannah Elizabeth Martinez is 1902979610. The last update date is 2007-11-23.

Susannah Elizabeth Martinez's current location address is 175 Union St, Bangor, Maine. You can contact this provider via phone number 2079412850 and fax number 2089412852. The mailing address for Susannah Elizabeth Martinez is 175 Union St, Bangor, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Susannah Elizabeth Martinez
Address 175 Union St, Bangor, Maine
Phone Number 2079412850
Fax Number 2089412852
Sole Proprietor N
Credentials MS, CCC-SL

NPI Number Detail

NPI Number 1902979610
Provider Enumeration Date 2006-11-17
Last Updated Date 2007-11-23

Provider Mailing Address Detail

Address 175 Union St
City Bangor
State Maine (ME)
Post Code 44016100
Phone Number 2079412850
Fax Number 2089412852

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No SP1776
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
432335699 ME --

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FAQs about Susannah Elizabeth Martinez

What is the unique 10-digit identification code assigned to Susannah Elizabeth Martinez by the Centers for Medicare & Medicaid Services?

The Susannah Elizabeth Martinez has been issued the NPI (National Provider Identifier) 1902979610, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Susannah Elizabeth Martinez is located?

The Susannah Elizabeth Martinez is situated at the following address: 175 Union St, Bangor, ME, 44016100.

What is Susannah Elizabeth Martinez's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Susannah Elizabeth Martinez is Speech-language Pathologist, and the taxonomy code that categorizes this field of expertise is 235Z00000X.

On what date did Susannah Elizabeth Martinez receive its 1902979610 assignment from the Centers for Medicare & Medicaid Services?

The Susannah Elizabeth Martinez was assigned its 1902979610 on 2006-11-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Susannah Elizabeth Martinez, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Susannah Elizabeth Martinez, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-11-23.

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