Individual
MS. ANITA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSP CCCSLP
Contact information
Practice address
2110 N JACKSON ST, TULLAHOMA, TN 37388-2208
(931) 455-5189
Mailing address
1000 WORTHINGTON TRAIL, APT 14206, SPRING HILL, TN 37174
(931) 334-5456
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP0000003372
TN
Other
Enumeration date
02/13/2007
Last updated
05/10/2017
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