Basic Information
Provider Information
NPI: 1093962516
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MARTINHO
FirstName: SARAH
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: AU.D., CCC-A, FAAA
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 101 MANNING DR
Address2: G0321 NEUROSCIENCES HOSPITAL, AUDIOLOGY DEPT.
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber: 9198430425
FaxNumber: 9199668690
Practice Location
Address1: 101 MANNING DR
Address2: G0321 NEUROSCIENCES HOSPITAL, AUDIOLOGY DEPT.
City: CHAPEL HILL
State: NC
PostalCode: 275144220
CountryCode: US
TelephoneNumber: 9198430425
FaxNumber: 9199668690
Other Information
ProviderEnumerationDate: 08/27/2008
LastUpdateDate: 08/27/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237600000X5441NCY Speech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter 

No ID Information.


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