Individual
MRS. EMILY HUSTED MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1325 LOUISVILLE AVE, MONROE, LA 71201-6021
(318) 807-1500
(318) 807-1504
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6293
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2406817
—
LA
Enumeration date
03/08/2012
Last updated
06/12/2019
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