Individual
MS. AMANI MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
2807 WESTBROOK DR APT 211, FORT WAYNE, IN 46805-2018
(260) 417-7785
Mailing address
2807 WESTBROOK DR APT 211, FORT WAYNE, IN 46805-2018
(260) 417-7785
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14301154
NV
Other
Enumeration date
06/17/2021
Last updated
07/19/2023
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