Doctor Name: | KAROLANNE TROGDON MARTIN |
NPI Number: | 1417210014 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | 9969 |
Business Practice Address: | 223 Us Highway 70 E Suite 150-a Garner, NC - 275294071 |
Business Phone Number: | 9199261466 |
Business Fax Number: | 9199261377 |
Mailing Address: | 223 Us Highway 70 E, Suite 150-a GARNER |
State: | NC |
Postal Code: | 275294071 |
Phone Number: | 9199261466 |
Fax Number: | 9199261377 |
NPI Enumeration Date: | 06/19/2012 |
NPI Last Update Date: | 06/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 9969 |
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 |