Organization
LANGUAGE LEARNING CLASSROOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LEIGH MARTINEZ M.S., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(804) 301-9321
Entity
Organization
Contact information
Practice address
5248 SCOTSGLEN DR, GLEN ALLEN, VA 23059-5533
(804) 301-9321
(804) 418-7928
Mailing address
5248 SCOTSGLEN DR, GLEN ALLEN, VA 23059-5533
(804) 301-9321
(804) 418-7928
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004379
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208447
ANTHEM BLUE CROSS SHEILD
VA
01
—
208489
ANTHEM BLUE CROSS SHIELD
VA
01
—
208518
ANTHEM BLUE CROSS SHIELD
VA
Enumeration date
05/09/2007
Last updated
08/22/2020
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