Organization
ELEANOR MARTINO VOICE AND SPEECH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR MARTINO (OWNER)
(540) 220-7501
Entity
Organization
Contact information
Practice address
4107 LAFAYETTE BLVD, SUITE 3, FREDERICKSBURG, VA 22408-4266
(540) 220-7501
Mailing address
320 TULIP PL, FREDERICKSBURG, VA 22408-1559
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202004561
VA
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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