Individual
BRENDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10200 NW 25TH ST # A-108, DORAL, FL 33172-5921
(786) 717-5649
Mailing address
3649 SW 153RD PL, MIAMI, FL 33185-4712
(786) 266-2028
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA20658
FL
235Z00000X
Speech-Language Pathologist
SZ10367
FL
Other
Enumeration date
09/19/2018
Last updated
08/10/2022
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