Brianna Martin
Speech-Language Pathologist, in Chicago, IL. Individual provider (NPI-1).
NPI number1982243176
StatusActive
Last updated in NPPESJun 3, 2024
Details
- NPI
- 1982243176
- Entity type
- Individual (NPI-1)
- Name
- Brianna Martin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 6, 2020
- Certification date
- Jun 3, 2024
- Last updated
- Jun 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | – | – | Yes |
Practice location
1409 W Carroll AveChicago, IL 60607-1105
Phone 312-243-8487
Mailing address
1409 W Carroll AveChicago, IL 60607-1105
Other practice locations
543 N Wood Dale Rd
Wood Dale, IL 60191-1535
Wood Dale, IL 60191-1535
Phone 630-451-6328
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