Individual
TRICIA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
23361 MADERO, SUITE 200, MISSION VIEJO, CA 92691-2715
(949) 581-8239
(949) 859-0849
Mailing address
4041 VIA INGRESSO, CYPRESS, CA 90630-3433
(949) 581-8239
(949) 859-0849
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
1734
CA
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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