| Doctor Name: | MS. KYLE LYN MARTIN |
| NPI Number: | 1982835682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.A. CCC-SLP |
| License Number: | SP 8590 |
| Business Practice Address: | 1012 W Bayfront Pkwy Erie, PA - 165072324 |
| Business Phone Number: | 8144551630 |
| Business Fax Number: | |
| Mailing Address: | 13172 Scott Rd, WATERFORD |
| State: | PA |
| Postal Code: | 164414626 |
| Phone Number: | 3303484525 |
| Fax Number: | |
| NPI Enumeration Date: | 07/30/2009 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP 8590 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OH |
| 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 |