Doctor Name: | MRS. KRISTI KAYE MARTIN |
NPI Number: | 1669652582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC/SLP |
License Number: | 2218 |
Business Practice Address: | 1 Choctaw Way Talihina, OK - 745712022 |
Business Phone Number: | 9185677000 |
Business Fax Number: | 9185677119 |
Mailing Address: | 1 Choctaw Way, TALIHINA |
State: | OK |
Postal Code: | 745712022 |
Phone Number: | 9185677000 |
Fax Number: | 9185677119 |
NPI Enumeration Date: | 11/08/2007 |
NPI Last Update Date: | 11/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 2218 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
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 |