Martin, Susan C.

Martin, Susan C. is an individual health care provider with primary practice located at 2915 North 4Th Street , Flagstaff AZ 86004. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Martin, Susan C. can be contacted via phone (928) 779-1679.

Contact Information

Primary practice address
2915 North 4Th Street Flagstaff AZ 86004
Phone: (928) 779-1679
Fax: (928) 779-2822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP1286 Arizona

Profile Details

NPI number 1790836963
LBN Legal business name Martin, Susan C.
Credentials MA CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 7th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790836963 NPPES
Other 716126 ASHA ID #
MEDICAID 535362 ASHA ID #

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