Individual
ELIZABETH MARTINEZ BRAUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4206 W 24TH AVE STE B104, KENNEWICK, WA 99338-2321
(509) 521-3644
Mailing address
4206 W 24TH AVE STE B104, KENNEWICK, WA 99338-2321
(509) 521-3644
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00004503
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL00004503
LICENSE - WA
WA
Enumeration date
09/29/2008
Last updated
06/20/2012
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