Individual
AMANDA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4840 ALPHA DR, BOZEMAN, MT 59718-9272
(406) 209-2554
Mailing address
4840 ALPHA DR, BOZEMAN, MT 59718-9272
(406) 209-2554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1092
MT
Other
Enumeration date
05/08/2006
Last updated
02/24/2016
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