Provider Demographics
NPI:1548227168
Name:ELIZABETH MARTINSON & ASSOC
Entity Type:Organization
Organization Name:ELIZABETH MARTINSON & ASSOC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:B
Authorized Official - Last Name:MARTINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MA CCC
Authorized Official - Phone:303-429-4031
Mailing Address - Street 1:8391 DELAWARE ST
Mailing Address - Street 2:STE 202
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-4854
Mailing Address - Country:US
Mailing Address - Phone:303-429-4031
Mailing Address - Fax:303-429-4020
Practice Address - Street 1:8391 DELAWARE ST
Practice Address - Street 2:STE 202
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80221-4854
Practice Address - Country:US
Practice Address - Phone:303-429-4031
Practice Address - Fax:303-429-4020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04010492Medicaid