Individual
MADELYN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S, SLP-CFY
Contact information
Practice address
647 POE FARM RD, PERRYVILLE, AR 72126-8761
(501) 889-4245
Mailing address
647 POE FARM RD, PERRYVILLE, AR 72126-8761
(501) 889-4245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
202399
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/08/2023
Last updated
01/02/2024
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