Individual
JESSICA BAUSERMAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4025 N SHARON AMITY, CHARLOTTE, NC 28205
(704) 817-8603
Mailing address
17631 CADDY COURT, CHARLOTTE, NC 28278
(864) 616-0482
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7342
SC
235Z00000X
Speech-Language Pathologist
Primary
8400
NC
Other
Enumeration date
02/21/2008
Last updated
03/17/2025
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