Individual
ANNIE ROSE MARTINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
11160 HURON ST STE 200, NORTHGLENN, CO 80234-3335
(720) 872-6472
Mailing address
11160 HURON ST STE 200, NORTHGLENN, CO 80234-3335
(720) 872-6472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14145110
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14145110
ASHA
—
Enumeration date
04/19/2019
Last updated
04/19/2019
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