Individual
JILL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6602 NORTHRIDGE CIR, LOUISVILLE, KY 40241-6522
(812) 661-7314
Mailing address
6602 NORTHRIDGE CIR, LOUISVILLE, KY 40241-6522
(812) 661-7314
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13-039
KY
Other
Enumeration date
06/13/2013
Last updated
06/03/2014
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