Individual
MRS. ELIZABETH LYONS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCCSLP
Contact information
Practice address
28 EVERETT ST, EASTHAMPTON, MA 01027-1604
(916) 769-7929
Mailing address
28 EVERETT ST, EASTHAMPTON, MA 01027-1604
(413) 399-9080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9632
MA
261QH0700X
Hearing and Speech Clinic/Center
9632
MA
Other
Enumeration date
02/08/2021
Last updated
11/05/2021
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