Provider Demographics
NPI:1205052016
Name:MARTINEZ, SILVIA (EDD CCC-SLP)
Entity type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:EDD CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 RANDOLPH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-5528
Mailing Address - Country:US
Mailing Address - Phone:202-723-9474
Mailing Address - Fax:
Practice Address - Street 1:1300 RANDOLPH ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-5528
Practice Address - Country:US
Practice Address - Phone:202-723-9474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC10004534235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist