Individual
TANIA MARTINEZ-EQUIZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 FORBES BLVD, LANHAM, MD 20706-6312
(301) 560-3640
Mailing address
PO BOX 500, BROOKEVILLE, MD 20833-0500
(301) 498-8100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
11059
MD
Other
Enumeration date
06/02/2023
Last updated
07/09/2025
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