Individual
TERI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
S.L.P.
Contact information
Practice address
304 SORENSON ST, NORTH LITTLE ROCK, AR 72118-3473
(501) 246-5191
(501) 246-5393
Mailing address
11 PINE TREE LOOP, NORTH LITTLE ROCK, AR 72116-8313
(501) 812-4809
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1538
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142829721
—
AR
01
—
5Y432
BLUE CROSS BLUE SHIELD
AR
Enumeration date
06/23/2006
Last updated
01/25/2016
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