Individual
MS. HANNAH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
5228 OCEAN BREEZE CT, SAN DIEGO, CA 92109-1361
(562) 879-9322
Mailing address
5228 OCEAN BREEZE CT, SAN DIEGO, CA 92109-1361
(562) 879-9322
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14087956
ASHA LICENSE
—
01
—
23259
CALIFORNIA STATE LICENSE
CA
Enumeration date
12/26/2020
Last updated
12/26/2020
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