Doe, Marta A
Doe, Marta A is an individual health care provider with primary practice located at 5001 Statesman Dr , Irving TX 75063-2414. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Doe, Marta A can be contacted via phone (877) 282-5613.Contact Information
Primary practice address
5001 Statesman Dr
Irving TX 75063-2414
Phone: (877) 282-5613
Fax: (877) 508-1628
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | LL60025574 | Washington |
Profile Details
| NPI number | 1629234877 |
|---|---|
| LBN Legal business name | Doe, Marta A |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2008 |
| Last updated | Jul 22nd, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629234877 | NPPES |
| Washington | MEDICAID | 7980709 | |
| Washington | Other | 506506 |
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