Individual
MS. KYLE LYN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1012 W BAYFRONT PKWY, ERIE, PA 16507-2324
(814) 455-1630
Mailing address
13172 SCOTT RD, WATERFORD, PA 16441-4626
(330) 348-4525
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
012664
PA
235Z00000X
Speech-Language Pathologist
SP 8590
OH
Other
Enumeration date
07/30/2009
Last updated
05/26/2016
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