Individual
CHIQUEETA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3116 MILTON RD STE F, CHARLOTTE, NC 28215-5079
(704) 258-8951
(980) 237-6288
Mailing address
3116 MILTON RD STE F, CHARLOTTE, NC 28215-5079
(704) 258-8951
(980) 237-6226
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13115
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003940933
GROUP NPI
NC
Enumeration date
05/18/2022
Last updated
06/30/2025
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