Individual
MARTHA CARL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1256 BRENTWOOD AVE, RICHLAND, WA 99352-8533
(509) 627-0286
Mailing address
1256 BRENTWOOD AVE, RICHLAND, WA 99352-8533
(509) 627-0286
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL60327554
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LL60327554
SPEECH LANGUAGE PATHOLOGIST
WA
Enumeration date
02/07/2013
Last updated
02/07/2013
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