| Doctor Name: | ELLEN CROSBY ROU MARTIN |
| NPI Number: | 1073837878 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CCC-SLP |
| License Number: | SLP006443 |
| Business Practice Address: | 7522 Wiles Rd Suite 207 Coral Springs, FL - 330672062 |
| Business Phone Number: | 9542278255 |
| Business Fax Number: | 9542278255 |
| Mailing Address: | 7522 Wiles Rd, Suite 207 CORAL SPRINGS |
| State: | FL |
| Postal Code: | 330672062 |
| Phone Number: | 9542278255 |
| Fax Number: | 9542278255 |
| NPI Enumeration Date: | 03/23/2010 |
| NPI Last Update Date: | 03/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP006443 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |