Provider Demographics
NPI:1952739906
Name:MARTINEZ, ERIKA (SPA 2102)
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:SPA 2102
Other - Prefix:
Other - First Name:ERIKA
Other - Middle Name:
Other - Last Name:INZUNZA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14030 MCCLURE AVE
Mailing Address - Street 2:109
Mailing Address - City:PARAMOUNT
Mailing Address - State:CA
Mailing Address - Zip Code:90723-2273
Mailing Address - Country:US
Mailing Address - Phone:562-659-2164
Mailing Address - Fax:
Practice Address - Street 1:12411 SLAUSON AVE
Practice Address - Street 2:UNIT H
Practice Address - City:WHITTIER
Practice Address - State:CA
Practice Address - Zip Code:90606-2835
Practice Address - Country:US
Practice Address - Phone:562-693-5449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASPA 21022355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant