Individual
KELLI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-SLP/L
Contact information
Practice address
20397 ROUTE 19 STE 30, CRANBERRY TWP, PA 16066-6102
(855) 887-7332
(724) 473-3253
Mailing address
2620 CONSTITUTION BLVD STE 202, BEAVER FALLS, PA 15010-1278
(724) 846-8255
(724) 647-1232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL007602
PA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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