Individual
JOANNE MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
179 DIECKMAN RD, CHEHALIS, WA 98532-9614
(360) 748-3384
Mailing address
PO BOX 35, ADNA, WA 98522-0035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
61331533
WA
235Z00000X
Speech-Language Pathologist
LL61331533
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
61331533
—
WA
Enumeration date
08/31/2022
Last updated
08/31/2022
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