Most Relevant Information
Provider Data
| NPI Number: | 1003395708 |
| Provider Name: | AMELIA MARTIN |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2018016955 |
Most Important Dates
| Enumeration Date: | 08/13/2018 |
| Last Updated: | 08/13/2018 |
Provider Practice Location
12110 CLAYTON RD
SAINT LOUIS
MO
631312516
Practice Location Phone/Fax
| Phone: | 3149898100 |
| Fax: |
Provider Mailing Location
329 MEADOWLAKE DR
SAINT CHARLES
MO
633041227
Provider Mailing Phone/Fax
| Phone: | 6365776116 |
| Fax: |