Doctor Name: | MRS. EMILY HUSTED MARTIN |
NPI Number: | 1336414366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., CCC-SLP |
License Number: | 6293 |
Business Practice Address: | 130 Desiard St Suite 355 Monroe, LA - 712017319 |
Business Phone Number: | 3188077875 |
Business Fax Number: | 3188126603 |
Mailing Address: | 1325 Louisville Ave, MONROE |
State: | LA |
Postal Code: | 712016021 |
Phone Number: | 3188071500 |
Fax Number: | 3188071504 |
NPI Enumeration Date: | 03/08/2012 |
NPI Last Update Date: | 01/15/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 6293 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |