Individual
MRS. DANIELLE ALEECE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1643 LANCASTER DR STE 100, GRAPEVINE, TX 76051-3593
(817) 329-2524
(817) 329-2658
Mailing address
812 REGAL XING, KELLER, TX 76248-9766
(214) 202-7500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
108371
TX
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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