Individual
MARTHA H VAN DAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
706 PELZER HWY, EASLEY, SC 29642-2941
(864) 859-0167
(864) 859-2312
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(800) 944-9782
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4102
SC
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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