Individual
MISS MICHELLE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1401 HALSTEAD AVE, NORFOLK, VA 23502-2003
(757) 857-0481
Mailing address
3512 WHITE CHAPEL RD, NORFOLK, VA 23509-1342
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202003854
VA
Other
Enumeration date
05/11/2016
Last updated
05/11/2016
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