Individual
CHARYLEEN P. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
254 LANDINGS DR, AMHERST, NY 14228-3708
(716) 689-4472
Mailing address
254 LANDINGS DR, AMHERST, NY 14228-3708
(716) 689-4472
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
003215
NY
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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