Provider Demographics
NPI:1841228467
Name:MARTINE, CATHERINE J (AUD)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:J
Last Name:MARTINE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MRS
Other - First Name:CATHERINE
Other - Middle Name:J
Other - Last Name:MARTINE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1543 ASHLEY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5201
Mailing Address - Country:US
Mailing Address - Phone:843-556-4327
Mailing Address - Fax:843-556-2171
Practice Address - Street 1:1543 ASHLEY RIVER RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5201
Practice Address - Country:US
Practice Address - Phone:843-556-4327
Practice Address - Fax:843-556-2171
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC528231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist