Individual
MARTHA BAREIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
21620 N 19TH AVE STE A6, PHOENIX, AZ 85027-2716
(602) 875-5616
Mailing address
21620 N 19TH AVE STE A6, PHOENIX, AZ 85027-2716
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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