Individual
DIANA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
872 W DAYTON ST, GALESBURG, IL 61401-1503
(309) 344-3400
(309) 344-5040
Mailing address
872 W DAYTON ST, GALESBURG, IL 61401-1503
(309) 344-3400
(309) 344-5040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.001224
IL
Other
Enumeration date
07/08/2009
Last updated
10/21/2009
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