Individual
KELLY JEAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
5264 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-2471
(319) 929-0500
Mailing address
5264 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-2471
(319) 929-0500
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
002121
IA
Other
Enumeration date
10/12/2011
Last updated
09/28/2015
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