Doctor Name: | MRS. JANET RHYNE MARTIN |
NPI Number: | 1265741128 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SPEECH LANGUAGE PATH |
License Number: | 8449 |
Business Practice Address: | 4902 Main Street, Suite D Shallotte, NC - 28470 |
Business Phone Number: | 9107543484 |
Business Fax Number: | 9107543485 |
Mailing Address: | Po Box 1288, 580 Farringdom Street LUMBERTON |
State: | NC |
Postal Code: | 28359 |
Phone Number: | 9106719629 |
Fax Number: | 9106719630 |
NPI Enumeration Date: | 09/27/2010 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 8449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
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 |