Doctor Name: | MRS. KELLY MARTIN |
NPI Number: | 1225467889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | SL010223 |
Business Practice Address: | 225 Lahrs Rd Northumberland, PA - 178578555 |
Business Phone Number: | 2039795566 |
Business Fax Number: | |
Mailing Address: | 225 Lahrs Rd, NORTHUMBERLAND |
State: | PA |
Postal Code: | 178578555 |
Phone Number: | 2039795566 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL010223 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |