Eleanor Martino Voice and Speech PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202004561 Issued in VA

Legal business name

ELEANOR MARTINO VOICE AND SPEECH PLLC

Practice address

4107 Lafayette Blvd
Suite 3
Fredericksburg, VA 22408-4266

Phone

(540) 220-7501

NPI assigned

Jan 30, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Eleanor Martino

Title

Owner

Phone

(540) 220-7501

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1962774489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 TULIP PL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224081559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 LAFAYETTE BLVD",
            "address_2": "SUITE 3",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084266",
            "telephone_number": "540-220-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEANOR MARTINO VOICE AND SPEECH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ELEANOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "540-220-7501"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202004561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.