Doctor Name: | SHERI MARTENS |
NPI Number: | 1750741682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA CCC SLP |
License Number: | 192 |
Business Practice Address: | 408 E Broadway Fairview, OK - 737372110 |
Business Phone Number: | 5802272531 |
Business Fax Number: | |
Mailing Address: | 408 E Broadway, FAIRVIEW |
State: | OK |
Postal Code: | 737372110 |
Phone Number: | 5802272531 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2016 |
NPI Last Update Date: | 03/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 192 |
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 |