Individual
MS. TAKOYA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12 DUNDERAVE RD, WHITE PLAINS, NY 10603-3010
(646) 924-9655
Mailing address
12 DUNDERAVE RD, WHITE PLAINS, NY 10603-3010
(646) 924-9655
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
256614031
NY
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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