Individual
COURTNEY LEE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4521 LINCOLN AVE, TWO RIVERS, WI 54241-1874
(920) 793-4560
Mailing address
4521 LINCOLN AVE, TWO RIVERS, WI 54241-1874
(920) 793-4560
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
235Z00000X
Speech-Language Pathologist
Primary
1001466213
WI
Other
Enumeration date
06/11/2019
Last updated
07/17/2026
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