Individual
MS. DENISE M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1260 OCEAN SPRINGS ROAD, THE GARDENS, OCEAN SPRINGS, MS 39564
(601) 206-9195
(301) 957-8391
Mailing address
P.O. BOX 315, RIDGELAND, MS 39158-0315
(601) 206-9195
(601) 957-8391
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0447
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014160
—
MS
Enumeration date
09/20/2012
Last updated
09/20/2012
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