Provider Demographics
NPI:1811344393
Name:MARTINSON, EMILY L (AUD, PHD)
Entity type:Individual
Prefix:DR
First Name:EMILY
Middle Name:L
Last Name:MARTINSON
Suffix:
Gender:F
Credentials:AUD, PHD
Other - Prefix:DR
Other - First Name:EMILY
Other - Middle Name:L
Other - Last Name:RUSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:19110 MONTGOMERY VILLAGE AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-3706
Mailing Address - Country:US
Mailing Address - Phone:301-977-6317
Mailing Address - Fax:301-977-8503
Practice Address - Street 1:5530 WISCONSIN AVE STE 1540
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4321
Practice Address - Country:US
Practice Address - Phone:301-907-0002
Practice Address - Fax:301-907-7709
Is Sole Proprietor?:No
Enumeration Date:2016-05-16
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01357231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist