Individual provider · Type 1 NPI

Ellianne Kimes Martin

Speech-Language Pathologist · Grand Rapids, MI

NPI number 1770212342 Active

Practice location

710 Kenmoor Ave SE Ste 110
Grand Rapids, MI 49546-2379

Call (616) 591-2905 Map

Fax (616) 333-2321

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X7152000343 (MI)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1770212342

Ellianne Kimes Martin's National Provider Identifier is 1770212342, issued on Jun 8, 2022. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 8, 2022.