Individual
CHERYL MAE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,IECE
Contact information
Practice address
7822 HIGHWAY 2004, MC KEE, KY 40447-8397
(606) 965-2158
(606) 965-2158
Mailing address
7822 HIGHWAY 2004, MC KEE, KY 40447-8397
(606) 965-2158
(606) 965-2158
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
02/16/2015
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