Individual
MARTHA LEIGH LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
6957 HIGHWAY 10 NW, SUITE #102, RAMSEY, MN 55303
(763) 427-2210
Mailing address
6957 HIGHWAY 10 NW, SUITE #102, RAMSEY, MN 55303
(763) 427-2210
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP#1171
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133817721
—
AR
Enumeration date
04/23/2008
Last updated
01/15/2019
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