Individual
MR. TERRY MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-A
Contact information
Practice address
350 W COLUMBIA ST, SUITE #300, EVANSVILLE, IN 47710-1782
(812) 425-1500
(812) 425-0587
Mailing address
350 W COLUMBIA ST, SUITE #300, EVANSVILLE, IN 47710-1782
(812) 425-1500
(812) 425-0587
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
23000631A
IN
231HA2500X
Assistive Technology Supplier Audiologist
23000631A
IN
237600000X
Audiologist-Hearing Aid Fitter
Primary
23000631A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000084021
ANTHEM BLUECROSS BLUESHIE
IN
Enumeration date
08/19/2005
Last updated
09/11/2025
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