Provider Demographics
NPI:1710057450
Name:ARISS-MARTIN, AMY L (AUD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:L
Last Name:ARISS-MARTIN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3805 E. BELL RD SUITE 5800
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2190
Mailing Address - Country:US
Mailing Address - Phone:602-688-6500
Mailing Address - Fax:602-867-3144
Practice Address - Street 1:3805 E. BELL RD SUITE 5800
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-2190
Practice Address - Country:US
Practice Address - Phone:602-688-6500
Practice Address - Fax:602-867-3144
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2018-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA4731231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist