Individual
MRS. KELLY MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
225 LAHRS RD, NORTHUMBERLAND, PA 17857-8555
(203) 979-5566
Mailing address
225 LAHRS RD, NORTHUMBERLAND, PA 17857-8555
(203) 979-5566
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL010223
PA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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