Individual
AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2808 S. MAIN ST. SUITE C, LINDALE, TX 75771
(936) 637-9195
(903) 881-6010
Mailing address
15873 COUNTY ROAD 472, TYLER, TX 75706
(903) 509-1313
(903) 509-1383
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103789
TX
Other
Enumeration date
10/15/2015
Last updated
05/25/2022
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