Individual
TAYLOR MARIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
232 BOZRAH ST, BOZRAH, CT 06334-1406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP101119
MA
235Z00000X
Speech-Language Pathologist
SZ11242
FL
Other
Enumeration date
06/01/2023
Last updated
12/21/2024
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