Charlene Samone Martin, M.S. CCC-SLP Valid NPI
Individual provider · Speech-Language Pathologist · Dallas, GA
- NPI
- 1417565532
- Type
- Individual (Type 1)
- Primary specialty
- Speech-Language Pathologist
- Specialty group
- Speech, Language and Hearing Service Providers
- Taxonomy code
- 235Z00000X
- License number
- SLP007542 (GA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-07-15
- Last updated
- 2020-10-20
Practice location
103 Due West Pass
Dallas, GA 30157-2545
(404) 556-7053