Individual
MRS. ELIZABETH AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
15271 BAILEY HILL RD, BROOKSVILLE, FL 34614-2916
(469) 236-2484
Mailing address
15271 BAILEY HILL RD, BROOKSVILLE, FL 34614-2916
(469) 236-2484
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1196SP
MT
235Z00000X
Speech-Language Pathologist
Primary
SA21060
FL
235Z00000X
Speech-Language Pathologist
SLP1196
MT
Other
Enumeration date
10/13/2009
Last updated
05/05/2023
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