Individual
BRENDA DANIELLE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP, TSSLD
Contact information
Practice address
71 CLINTON RD, GARDEN CITY, NY 11530-4742
(516) 396-2500
Mailing address
2364 ATLANTIC BLVD, WANTAGH, NY 11793-4231
(516) 477-6401
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
034969
NY
Other
Enumeration date
11/07/2024
Last updated
11/07/2024
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