Individual
GWENYTH MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
2507 CHESTNUT ST, CHESTER, PA 19013
(610) 872-5373
Mailing address
107 E ROSE VALLEY RD, WALLINGFORD, PA 19086
(215) 260-0390
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL011532
PA
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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