Individual
KATHRYN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
610 S AVALON ST, WEST MEMPHIS, AR 72301-4109
(870) 735-4543
(870) 732-4490
Mailing address
711 AVIGNON DR, RIDGELAND, MS 39157-5120
(601) 605-6777
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2984
AR
Other
Enumeration date
03/19/2018
Last updated
03/19/2018
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