Individual
MARTHA GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3802 N 91ST AVE, PHOENIX, AZ 85037-2368
(623) 772-2340
(623) 877-1028
Mailing address
3802 N 91ST AVE, PHOENIX, AZ 85037-2368
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6650
AZ
Other
Enumeration date
09/15/2010
Last updated
11/29/2010
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