Individual
MRS. REBECCA LYNN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
2424 ELMWOOD DR SE, GRAND RAPIDS, MI 49506-4217
(616) 808-1338
Mailing address
2424 ELMWOOD DR SE, GRAND RAPIDS, MI 49506-4217
(616) 808-1338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146006643
IL
Other
Enumeration date
01/13/2007
Last updated
11/06/2023
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