Individual
TASHA MARTIN-STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4820 QUEEN RIDGE AVE, APT 732, KANSAS CITY, MO 64136-1423
(816) 373-4841
Mailing address
4820 QUEEN RIDGE AVE, APT 732, KANSAS CITY, MO 64136-1423
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01850
KS
235Z00000X
Speech-Language Pathologist
Primary
116968
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
464777424
—
MO
Enumeration date
02/14/2007
Last updated
07/08/2007
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