Provider Demographics
NPI:1801517990
Name:MARTINEZ ESPINOZA, SONIA (MS, CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:SONIA
Middle Name:
Last Name:MARTINEZ ESPINOZA
Suffix:
Gender:F
Credentials:MS, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11914 DRAGON LN
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78252-2612
Mailing Address - Country:US
Mailing Address - Phone:210-622-4355
Mailing Address - Fax:
Practice Address - Street 1:11914 DRAGON LN
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78252-2612
Practice Address - Country:US
Practice Address - Phone:210-622-4355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX105450235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist