Individual
DR. CAROLE J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1921 WARREN AVE, CHEYENNE, WY 82001-3723
(307) 634-4100
Mailing address
PO BOX 26, CHEYENNE, WY 82003-0026
(307) 634-4100
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A-936
WY
235Z00000X
Speech-Language Pathologist
S-189
WY
Other
Enumeration date
08/01/2006
Last updated
01/30/2013
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