Individual
MRS. LISA NOBEL MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
908 S WASHINGTON ST, DENVER, CO 80209-4316
(720) 934-9311
Mailing address
1822 S HUMBOLDT ST, DENVER, CO 80210-3334
(720) 934-9311
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
09136195
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49732285
—
CO
Enumeration date
08/12/2006
Last updated
01/11/2017
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