Individual
CAITLIN M. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CF-SLP
Contact information
Practice address
108 W WASHINGTON ST, WAYNETOWN, IN 47990-8022
(131) 734-0828
Mailing address
7030 BLAZING TRAIL DR, COLORADO SPRINGS, CO 80922-3052
(317) 340-8285
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22006426
IN
390200000X
Student in an Organized Health Care Education/Training Program
460002846A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201376470
—
IN
Enumeration date
05/04/2016
Last updated
09/06/2023
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