Individual
MICHELLE VICTORIA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1808 N IZABEL ST, FLAGSTAFF, AZ 86004-4133
(580) 747-5464
Mailing address
1917 APPALOOSA DR, GREENWOOD, AR 72936-4972
(580) 747-5464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
2451
OK
235Z00000X
Speech-Language Pathologist
3555
AR
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/29/2011
Last updated
07/31/2025
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