Individual
JENNY L MARTINSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
14311 SNOHMISH CASCADE DR, SNOHOMISH, WA 98296
(360) 563-4764
Mailing address
1601 AVENUE D, SNOHOMISH, WA 98290-1718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002841
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL00002841
DOH
WA
Enumeration date
12/13/2012
Last updated
12/13/2012
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