MEDICARE: ELIZABETH MARTINSON & ASSOC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548227168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ELIZABETH MARTINSON & ASSOC

Provider Business Mailing Address
First Line	:	8391 DELAWARE ST
Second Line	:	STE 202
City	:	DENVER
State	:	CO
Zip	:	80221-4854
Country	:	US
Telephone Number	:	303-429-4031
Fax Number	:	303-429-4020

Provider Business Practice Location Address
First Line	:	8391 DELAWARE ST
Second Line	:	STE 202
City	:	DENVER
State	:	CO
Zip	:	80221-4854
Country	:	US
Telephone Number	:	303-429-4031
Fax Number	:	303-429-4020

Authorized Official
Title or Position	:	SPEECH LANGUAGE PATHOLOGIST
Name	:	MS. ELIZABETH B MARTINSON
Credential	:	MA CCC
Telephone Number	:	303-429-4031

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	08/22/2020

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