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MICHELLE VICTORIA MARTIN SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1700177367

Individual Registrant:
 MICHELLE VICTORIA MARTIN SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1917 APPALOOSA DR  GREENWOOD, AR 72936-4972 US
Tel: 580-747-5464  Fax: --

Contact information for business:
1917 APPALOOSA DR  GREENWOOD, AR 72936-4972 US
Tel: 580-747-5464  Fax: --

Registration Information:
NPI: 1700177367
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AR3555
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
OK2451

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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