Individual
MRS. GINA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 969-1088
(205) 795-3390
Mailing address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
(205) 969-1088
(205) 795-3390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12007697
AL
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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