Martinez, Susannah Elizabeth

Martinez, Susannah Elizabeth is an individual health care provider with primary practice located at 175 Union St , Bangor ME 04401-6100. 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. Martinez, Susannah Elizabeth can be contacted via phone (207) 941-2850.

Contact Information

Primary practice address
175 Union St Bangor ME 04401-6100
Phone: (207) 941-2850
Fax: (208) 941-2852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SP1776 Maine

Profile Details

NPI number 1902979610
LBN Legal business name Martinez, Susannah Elizabeth
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
Last updated Nov 23rd, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902979610 NPPES
Maine MEDICAID 432335699

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