Doctor Name: | DR. MARNI LYNN JOHNSON MARTIN |
NPI Number: | 1659590503 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | AU.D. |
License Number: | 315 |
Business Practice Address: | 414 E Clark St Vermillion, SD - 570692307 |
Business Phone Number: | 6056775474 |
Business Fax Number: | |
Mailing Address: | 3164 W Auburn Hills Ct, SIOUX FALLS |
State: | SD |
Postal Code: | 571081503 |
Phone Number: | 6052710454 |
Fax Number: | |
NPI Enumeration Date: | 04/25/2007 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 231HA2400X |
License Number: | 315 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | SD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Audiologist |
Taxonomy Specialization: | Assistive Technology Practitioner |
Taxonomy Definition: |