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Contact Information

THAIS D ST MARTIN, MASTERS OF SCIENCE
12335 WOODSIDE AVE
LAKESIDE, CA92040
 Phone: 619-390-2391
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for THAIS D ST MARTIN · (Female)

NPI Number 1134771512
Status Active
Credentials MASTERS OF SCIENCE
Entity Individual
Enumeration date 07/15/2019
Last updated 07/15/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 12260
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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