Individual
MRS. BIANCA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. SLP-CF
Contact information
Practice address
114 VLASIS DR, BALLWIN, MO 63011-3024
(847) 804-1198
Mailing address
114 VLASIS DR, BALLWIN, MO 63011-3024
(847) 804-1198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2019039583
MO
Other
Enumeration date
08/24/2020
Last updated
08/28/2025
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