Provider Demographics
NPI:1881865897
Name:HUSLIG, MARTINE GOULD (MS)
Entity Type:Individual
Prefix:MRS
First Name:MARTINE
Middle Name:GOULD
Last Name:HUSLIG
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:MARTINE
Other - Middle Name:ANNETTE
Other - Last Name:GOULD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:2110 UPPER BRANCH CV
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-4203
Mailing Address - Country:US
Mailing Address - Phone:512-858-7939
Mailing Address - Fax:
Practice Address - Street 1:2110 UPPER BRANCH CV
Practice Address - Street 2:
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4203
Practice Address - Country:US
Practice Address - Phone:512-858-7939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2008-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS