Individual
BONNIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
3251 RIVER OAKS DR, NEW ORLEANS, LA 70131-7011
(504) 421-1907
Mailing address
3251 RIVER OAKS DR, NEW ORLEANS, LA 70131-7011
(504) 421-1907
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2575
LA
Other
Enumeration date
06/10/2017
Last updated
07/21/2022
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