Individual
MRS. MELANIE KATHARINE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TSLP
Contact information
Practice address
1110 CALL CREEK DR STE 4B, POCATELLO, ID 83201-3072
(208) 233-4660
(208) 233-4262
Mailing address
1110 CALL CREEK DR STE 4B, POCATELLO, ID 83201-3072
(208) 233-4660
(208) 233-4262
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP-2126
ID
Other
Enumeration date
08/02/2011
Last updated
08/02/2011
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