Individual
ANYA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
(502) 371-9067
Mailing address
4501 LOUISE UNDERWOOD WAY, LOUISVILLE, KY 40216-3987
(502) 368-2348
(502) 371-9067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
166979
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100403350
—
KY
01
—
K152640
MEDICARE
—
Enumeration date
06/02/2016
Last updated
08/04/2016
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