Doctor Name: | MS. JANICE LOUISE MARTIN |
NPI Number: | 1144483264 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS-CCC/SLP |
License Number: | 003796 |
Business Practice Address: | 743 Spring St Ne Northeast Ga Medical Center Gainesville, GA - 305013715 |
Business Phone Number: | 7705338251 |
Business Fax Number: | 7705383862 |
Mailing Address: | 743 Spring St Ne, Regain Program Of Northeast Ga Medical Center GAINESVILLE |
State: | GA |
Postal Code: | 305013715 |
Phone Number: | 7705338251 |
Fax Number: | 7705383862 |
NPI Enumeration Date: | 07/09/2008 |
NPI Last Update Date: | 07/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 003796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |