Individual
AMANDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2214 WALLER ST, WALLER, TX 77484-8461
(936) 931-3685
Mailing address
2214 WALLER ST, WALLER, TX 77484-8461
(936) 931-3685
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
101239
TX
Other
Enumeration date
10/25/2006
Last updated
09/02/2022
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