Provider Demographics
NPI:1003214800
Name:MARTINEZ, BRITTNEY AMBER
Entity Type:Individual
Prefix:MS
First Name:BRITTNEY
Middle Name:AMBER
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 COMANCHE RD NE APT 329
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87111-3968
Mailing Address - Country:US
Mailing Address - Phone:505-927-8291
Mailing Address - Fax:505-266-6306
Practice Address - Street 1:10800 COMANCHE RD NE APT 329
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87111-3968
Practice Address - Country:US
Practice Address - Phone:505-927-8291
Practice Address - Fax:505-266-6306
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5645235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist