MRS. Lisa Marlene Marty, MS CCCSLP

NPI #1619140456 in Buffalo, Minnesota

Provider Information

NPI Number
1619140456
Entity Type
Individual
Name
MRS. Lisa Marlene Marty, MS CCCSLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Speech-Language Pathologist
Credential
MS CCCSLP
Enumeration Date
Apr 11, 2008
Last Updated
Apr 11, 2008

Practice Location

Address
2144 COUNTY RD 12 SOUTH
ZIP Code
55313
Phone
(763) 458-4315

Specialties & Taxonomy Codes

Specialty
Speech-Language Pathologist

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