Kym Erin Martin MA CCC-SLP

NPI 1104964832 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1104964832
Gender Female
Enumeration Date 02/02/2007
Last Updated 03/02/2009
Entity Type Individual
Active Over 10 years ago
Practice Location
15526 N 164TH LN
SURPRISE AZ, 85388-1107, US
Phone (623) 229-8574
Fax
Business Location
215 W PORTLAND ST UNIT 246C
PHOENIX AZ, 85003-5429, US
Phone (623) 229-8574
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Arizona
License Number SLP4166
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According to our database, Miss Kym Erin Martin MA CCC-SLP NPI is 1104964832, taxonomy code is 235Z00000X and license number is SLP4166, license state is located at Arizona. Kym Erin Martin MA CCC-SLP physically located at 15526 N 164th Ln, Surprise AZ, 85388-1107. NPI Number Kym Erin Martin MA CCC-SLP has the Individual type.

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1104964832 NPI number is provided on an as is basis without warranty of any kind. 1104964832 is maintained by the National Plan & Provider Enumeration System. The contents of Kym Erin Martin MA CCC-SLP are for informational purposes only.