Provider Demographics
NPI:1851718308
Name:NUNEZ-ROJAS, MARTINA MARIA (SLP)
Entity Type:Individual
Prefix:MRS
First Name:MARTINA
Middle Name:MARIA
Last Name:NUNEZ-ROJAS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 WILLIAMSON PL
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5517
Mailing Address - Country:US
Mailing Address - Phone:201-796-7143
Mailing Address - Fax:
Practice Address - Street 1:7 WILLIAMSON PL
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5517
Practice Address - Country:US
Practice Address - Phone:201-796-7143
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-22
Last Update Date:2014-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009143-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist