Individual
LAUREN ALEXIS MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
21630 N 19TH AVE STE B3, PHOENIX, AZ 85027-2717
(602) 726-2300
Mailing address
6234 W BEHREND DR APT 1136, GLENDALE, AZ 85308-6910
(915) 346-3451
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPA11878
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
32686
—
AZ
Enumeration date
07/17/2019
Last updated
07/17/2019
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