Provider Demographics
NPI:1043549926
Name:MARTIN, JANNETTE JOSEPHINE (MA, CCC)
Entity type:Individual
Prefix:
First Name:JANNETTE
Middle Name:JOSEPHINE
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MA, CCC
Other - Prefix:
Other - First Name:JANETTE
Other - Middle Name:JOSEPHINE
Other - Last Name:TURK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, CCC
Mailing Address - Street 1:7475 W 5TH AVE
Mailing Address - Street 2:SUITE 215
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1649
Mailing Address - Country:US
Mailing Address - Phone:303-987-1285
Mailing Address - Fax:
Practice Address - Street 1:7475 W 5TH AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1649
Practice Address - Country:US
Practice Address - Phone:303-987-1285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-23
Last Update Date:2009-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist