Provider Demographics
NPI:1003547498
Name:MEYERS, MARTHA (AUD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:
Last Name:MEYERS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MARTHA
Other - Middle Name:
Other - Last Name:RHODES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:136 BRICKYARD RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-6538
Mailing Address - Country:US
Mailing Address - Phone:904-318-8342
Mailing Address - Fax:
Practice Address - Street 1:751 OAK ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3359
Practice Address - Country:US
Practice Address - Phone:904-318-8342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY2597231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist