National Provider Identifier
Mia Martin
Mia Martin is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Hamburg, NY and a listed phone number of (877) 246-2396.
Profile Overview
- NPI
- 1205501251
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- August 11, 2021
- Last Updated
- November 21, 2022
Practice Location
- 6490 Taylor Woods RD. Lot 17
- Hamburg, NY 14075
Phone: (877) 246-2396
Mailing Address
- 6490 Taylor RD Lot 17
- Hamburg, NY 14075-6565
Specialties
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1205501251
- Entity Type
- Individual
- Last Name
- Martin
- First Name
- Mia
- Mailing Street Address
- 6490 Taylor RD Lot 17
- Mailing City
- Hamburg
- Mailing State
- NY
- Mailing ZIP Code
- 14075-6565
- Mailing Country
- US
- Practice Street Address
- 6490 Taylor Woods RD. Lot 17
- Practice City
- Hamburg
- Practice State
- NY
- Practice ZIP Code
- 14075
- Practice Country
- US
- Practice Phone
- (877) 246-2396
- Enumeration Date
- August 11, 2021
- Last Updated
- November 21, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- November 21, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X)