Individual
MS. AINSLEY S MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
365 E SENECA TPKE, SYRACUSE, NY 13205-2455
(315) 372-6110
Mailing address
365 E SENECA TPKE, SYRACUSE, NY 13205-2455
(315) 372-6110
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
026425
NY
Other
Enumeration date
11/23/2019
Last updated
11/23/2019
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