Individual
MRS. LENISA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2740 COLLEGE AVENUE, CONWAY, AR 72034-9310
(501) 329-5459
(501) 325-1378
Mailing address
2565 TJ DR, CONWAY, AR 72034-8359
(501) 730-0268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP1643
AR
Other
Enumeration date
01/16/2007
Last updated
09/13/2007
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