Individual
JESSICA M MARTIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
333 LONGWOOD AVE, FLOOR 3, BOSTON, MA 02115-5711
(617) 355-6462
Mailing address
11 LANARK RD, UNIT #1, BROOKLINE, MA 02445-1807
(617) 448-1473
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6553
MA
Other
Enumeration date
02/17/2006
Last updated
07/08/2007
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