Individual
HEATHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
2155 E CUMBERLAND ST APT 1, PHILADELPHIA, PA 19125-2222
(570) 647-5567
Mailing address
2155 E CUMBERLAND ST APT 1, PHILADELPHIA, PA 19125-2222
(570) 647-5567
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL015973
PA
Other
Enumeration date
03/17/2025
Last updated
03/17/2025
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