Individual
ELIZABETH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8110 CORDOVA RD, CORDOVA, TN 38016-0520
(866) 672-4746
Mailing address
8110 CORDOVA RD, CORDOVA, TN 38016-0520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/15/2012
Last updated
03/15/2012
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