Individual
JETTE ROCHELLE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
2010 N CAPITOL AVE, INDIANAPOLIS, IN 46202-1222
(317) 924-5821
Mailing address
1434 N DELAWARE ST APT 503, INDIANAPOLIS, IN 46202-2473
(317) 364-0284
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004923A
IN
Other
Enumeration date
11/07/2009
Last updated
11/07/2009
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