Individual
MRS. SUSAN I. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 692-7961
Mailing address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 692-7961
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5262
AZ
Other
Enumeration date
04/30/2007
Last updated
07/08/2007
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